Nipples too High After Breast Lift / Implants

I had a BL with silicone 300 cc's under the muscle done in Jan. '10. My nipples pop out of every shirt, bra and bathing suit top making for an interesting summer. Is there anything that can be done to correct this? And what would be the "typical" measurement between the crease and nipple? Thank you.

Doctor Answers (8)

Nipples too high after lift and breast implants may indicate implants are too low

+2
Thank you for your question.  Often if the breast implants are placed to low or migrate down then nipples are displaced up and to the outside and appear to high.  This can be corrected by adjusting the inferior portion of the lift and implant position.

However the other possibility is that the nipple areola was placed to high on your chest wall.  Generally speaking the distance from the top of the breast bone below your neck to the nipple should be no less than 20 or 21 cm.  If the lift placed your nipple areola too high that is less than 18 cm from the notch above your breast bone then it may be difficult to correct the problem.  Please see your plastic surgeon.

Web reference: http://www.realself.com/question/approximately-big-breast#1251886

Boston Plastic Surgeon
5.0 out of 5 stars 24 reviews

Nipple/Areola Too High?

+1

Thank you for the question.

Depending on the size of the breasts, the distance from the areola to inframammary fold generally ranges between 6 cm and 9 cm. If this distance is too great after mastopexy surgery,  the nipple/areola complexes may appear to be too high on the breast mound (and seemed to be upward gazing). This may be the reason why your nipples want to “pop out” of clothing etc.

Correction of the situation  involves excision of additional skin and/or tissue along the lower poles  of the breasts;  this procedure would serve to correct the position of the nipple/areola complexes on the breast mounds.  They would no longer appear to be “star gazing”  and would more likely stay within the confines of clothing.

In person consultation with little experience plastic surgeons may be helpful.

Best wishes.

 

Web reference: http://www.poustiplasticsurgery.com/Procedures/Procedure_breastLiftAug.htmWe

San Diego Plastic Surgeon
5.0 out of 5 stars 626 reviews

The nipples too high or implants too low: nipples are popping out of bra

+1

The question is are the nipples to high or breast/implants too low. The distance from the nipple to the crease should range from 7-10 centimeters in the average sized individual. The treatment is to generally reduce the amount of tissue in the breast cup which is pusing the nipple up and out of the bra. This can be done my reducing the lower portions of the breast with a horizontal wedge excision.

Web reference: http://www.bodysculptor.com/breast-surgery-chicago/breast-lift/

Chicago Plastic Surgeon
5.0 out of 5 stars 39 reviews

Nipples too high

+1

Depending upon the cause, moving nipples down can be quite difficult without leaving a scar above the areola that is brought downward.  If the implants have bottomed out, the nipple may be pointing upward as well.

Manhattan Plastic Surgeon
4.5 out of 5 stars 14 reviews

Too high nipples after breast lift can be corrected.

+1

Hi.  You sound like you have a good sense of humor.

1)  Some times the nipples can be made to look lower by repositioning the breast implants.

2)  Otherwise, the nipples can be surgically lowered. This requires precise technique.

3)  The important measurement is between your nipples and the little hollow at the base of your neck between the collar bones (called the jugular notch).  This measurement should be at least 8 inches .

Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Correction of High, "Star Gazing" nipples after a Breast Lift Augmentation

+1

Regarding: "Nipples too High After Breast Lift / Implants
I had a BL with silicone 300 cc's under the muscle done in Jan. '10. My nipples pop out of every shirt, bra and bathing suit top making for an interesting summer. Is there anything that can be done to correct this? And what would be the "typical" measurement between the crease and nipple? Thank you
"

When performing a Breast Lift (Mastopexy) we re-position the nipple complex along the center of the breast mound at the level of the under the breast (inframammary) fold. Placing  the nipple complex higher results in an upward located or "Star Gazing" nipples. When an augmentation is done with a breast lift, the lower portion of the breast may not be sufficiently tightened or subsequent sagging may take place where as the lower pole of the breast sags or elongates, the nipples end up higher on the breast.

Without a photograph it is impossible to guess how YOUR particular case should be managed but in most cases tightening of the skin along the lower half of the breast may bring the implants right behind the nipple complex.

Dr. Peter Aldea

Memphis Plastic Surgeon
5.0 out of 5 stars 52 reviews

Nipple position after breast lift with augmentation

+1

When performing a breast lift with augmentation the nipples are repositioned superiorly and centered over implants and overlying breast tissue. There are some changes in subpectoral implant position that occur over the first few months after surgery. If your nipples appear too high relative to the implants, secondary surgery may correct this.

New York Plastic Surgeon
5.0 out of 5 stars 5 reviews

Nipples too high after surgery

+1

A photo is often very helpful to provide the best advice. This can occur if the lower breast tissue stretches out allowing the implant to settle lower than desired. Depending on the quality of your tissues the fix may require tightening the inside capsule and probably removing some of the lower breast skin to try to re-center the nipple on your breast mound.

I hope this helps

Dr Edwards

Web reference: http://www.medwardsmd.com/plasticsurgery_questions1.html

Las Vegas Plastic Surgeon
5.0 out of 5 stars 8 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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