Nipples too High After Breast Lift / Implants
Doctor Answers (12)
Nipples too high after lift and breast implants may indicate implants are too low
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.
Nipples too high
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Malposition of the Nipple Areola Complexes
Malposition of the nipple areola complexes is a significant deformity that can occur for a variety of reasons following breast lift surgery. This deformity results in a phenomena known as a sunrise nipple, in which the nipple areola complexes point in an upward direction.
The majority of these cases occur because of settling of the breast implant and stretching of the inferior breast skin because of the effects of gravity. In other cases the areola may be positioned at a higher than normal level during surgery. Under these circumstances correction of this deformity can be extremely difficult.
In most cases, correction of this deformity involves raising the height of the infra-mammary fold and breast pocket by performing a capsulorrhaphy. In other cases the distance between the nipple and inframammary fold requires shortening. This usually involves a resection of skin along the inframammary fold which shortens the distance between the nipple and the fold. This distance typically measures 7 to 10cm depending upon the size of the breast.
If you’re concerned about nipple areola malposition, it’s important to consult a board certified plastic surgeon. This surgeon should be able to formulate an appropriate treatment plan for your problem.
Nipple/Areola Too High?
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.
The nipples too high or implants too low: nipples are popping out of bra
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.
Nipples too high
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.
Too high nipples after breast lift can be corrected.
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 .
Correction of High, "Star Gazing" nipples after a Breast Lift Augmentation
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