Nipples Not Centered Post BA Surgery - What Can Be Done?

asked 1 year ago by 6164anon in Ontario, Canada
Latest answer by Steven Wallach, MD
Question viewed 828 times
Tags: nipples, female, 110-129 lbs, 5 ft 0 in to 5 ft 3 in, saline implants, under muscle, 300-349cc, Mentor

The measure of my breasts' curcomference, from its inside edge to nipple, then nipple to outside edge, are 4:5 inches on left (9 inches total), 3.5:5 on right (or 8.5 total). So the implants sit a bit on outside (my boobs 2 fingers apart),very obvious on the right. Is anything can be done to help address this (agressive massage, sleeping on side or stomach, etc)? I'm 3wks post-op,5'3"/110lbs, with 300+30cc MP saline under muscle. BTW, could it be too big for me? Thanks for your opinions!

6 answers to Nipples Not Centered Post BA Surgery - What Can Be Done?

A picture is worth a thousand words

It would be helpful to analyze both your before pictures and your after pictures. First, 3 weeks is early, so I would allow 2 months before making final judgment. Placing implants will tend to magnify the breasts, so any small asymmetry could be more noticeable afterwards. Allow healing to take place, but do not expect perfect symmetry. If you look closely, almost no one has perfect symmetry before surgery. Keep you surgeon in the loop, he/she is very invested in... more

Francisco Canales, MD
Santa Rosa Plastic Surgeon

Goal of breast augmentation is pleasing result, not necessarily perfect symmetry.

Hi. 1) I think I can visualize what troubles you. You need to live with your new breasts for several months, and then decide if you are happy overall, in spite of some asymmetry. 2) If not, it is possible that moving the right implant pocket slightly to the inside may help. Cannot tell without picture. 3) Unfortunately, massage or other conservative measures will not help.

George J. Beraka, MD
Manhattan Plastic Surgeon

VIDEO Breast Asymmetry: Easy solution but don't expect perfect symmetry

It's not that simple. I frequently tell my patients to expect less asymmetry rather than perfect symmetry.With a hemicircumference of 9. IF you don't like to the wide set appearanceof your breasts you could do medial capsulotomy and lateral capsulorrhaphy to bring them together but you risk synmastia (uniboob). If you don't like the asymmetry and your right breast is smaller you could try a medial capsulotomy alone with a slightly larger diameter implant so that the 3.5 is... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Please review your preop pictures with your doctor

Nipple and breast asymmetry is very common and most patient do not notice the difference. Preop picture will help to see if the asymmetry was there before surgery or the implants caused it.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

For early asymetries after breast augmentation look at your preop photos

Many early differences in nipple position and angulation are not a mistake by the surgeon but are magnifications of one's own preop asymmetries. These can be subtle things that become more visible when you magnify them with the augmentation. So ask your doctor to review your preop photos with you. If the changes you see are not there before, there may be just some differential swelling going on. Lastly, wait at least 4-6 months before even considering whether... more