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Nipples Facing Outwards 2 Years After Silicone Implants. Will This Recur w/ Revision?

asked 1 year ago by liz in california in Lemon Grove, CA
Latest answer by Scott L. Replogle, MD
Question viewed 867 times
Tags: nipples, crooked, silicone implant

Both my nipples are not longer centered faceing outwards? Is this normal and can it be corected? I want to have larger implants put in but I do not want this to occur again.

13 answers to Nipples Facing Outwards 2 Years After Silicone Implants. Will This Recur w/ Revision?

Medial crescent pexy to correct nipple position

Outward nipple position can be exaggerated after breast augmentation. This can sometimes be corrected by repositioning the implant. However, the easiest way to improve the nipple position is to remove a crescent of skin on the inside of the nipple-areola complex to "pull" the nipple more inwards. (medial crescent pexy). This leaves a small scar around the inner border of the areola which usually heals very well being in the margin of the areola. Nipple sensation should not be... more

Cynthia L. Mizgala, MD
Metairie Plastic Surgeon

Nipple position facing outwards

It is both critical and knowable to determine whether the cause of outward pointing nipples is because of natural conditions or because of implant malposition. Properly sized, positioned, and healed breast implants should never change the axis (direction) the nipples point. A revision with an implant change will require a new assessment of proper sizing, positioning, and healing to correct the outward pointing nipples if they were due to implant malposition or to leave them the same if the... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Nipple position after breast augmentation

Nipple position may vary prior to surgery. After surgery, depending on the position of the implant, the nipple may appear to point more laterally. Positioning of the implant a bit more laterally may help the nipple come in a bit, but then your breasts and cleavage may be too wide. Repositioning of the nipple can be accomplished with some moderate scarring. Wishing you all the best, Tal Raine MD FACS

Talmage J. Raine, MD
Chicago Plastic Surgeon

Nipples facing outwards

I have reviewed the comments of my colleagues and agree with almost everything they have said. The bottom line is, it depends on the specific factors of your case. I will add 2 more thoughts. I have seen lateral positioned/pointing nipples in sub glandular augmentations, that are corrected with submuscular placement. These cases have been associated with capsular contracture and implant displacement, which may be the cause of your problem. High profile implants,... more

Beverly Friedlander, MD
Short Hills Plastic Surgeon

Possibly

Check the before photos to see the original position of your nipples. It may not be possible if they are in a certain position. Understand that the key to breast implant surgery is to get the implant centered behind the nipple. Sometimes the direction, not the position, of the nipple can be altered by placing the implant more toward the middle of your chest to turn the nipples out and placing the implant more toward the outside of your chest to turn the... more

E. Anthony Musarra II, MD
Atlanta Plastic Surgeon

Nipple/Areolar Malposition

Your before surgery photos will indicate if this was already present and to what degree. If yes, then increasing your implant size may not correct this.

Stephan Baker, MD
Miami Plastic Surgeon

Outward pointing nipples

A lot will depend on what you had pre-op. If your nipples pointed outward prior to surgery then putting in an implant may accentuate this. A wider implant may improve the appearance but it is hard to tell without photos. Before proceeding with surgery I would discuss this with your plastic surgeon.

Steven Schuster, MD
Boca Raton Plastic Surgeon

www.schusterplasticsurgery.com

Nipple Position after Implants

Your anatomy, your implant choice and the surgery that you had, can all affect your nipple / areola position with implants. If you post before and after pictures, we may be able to give you more specific advice. If it is just a matter of properly centering your implants under your nipple / areola, you can possibly have better position and symmetry. If you have ptosis (or looseness of your breast), then you may need a mastopexy at that same time as your implant revision.... more

David Shafer, MD
New York Plastic Surgeon

Nipples facing outward after augmentation, is it correctable?

It is difficult to answer your question without photos (both preop and postop). Was this a gradual drift outwards or they looked like now initially after surgery? As a general rule, if your nipples are far apart prior to surgery, they will tend to move even more laterally with an augmentation. If you are going to get larger implants, the nipples will tend to go even more laterally. Imagine what happens if you place two dots on a balloon and then inflate the balloon. You need to discuss this... more

George Marosan, MD
Bellevue Plastic Surgeon

www.bellevueplasticsurgeons.com

Outward facing nipples

This is caused by many factors. Implants can be too big or too small causing the nipple-areola complex to be not centralized on the breast mound. The implants can be inadvertantly malpositioned medially thus putting the nipple more towards the outer half on the resulting breast mound. Finally, patients can begin with nipples that are facing a certain direction and this is accentuated with implants. A careful analysis and discussion regarding natural anatomy and goals should prepare you for... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Nipple Malposition

The most common cause of nipple malposition after augmentation is its presence pre-operatively, but you provided neither pre- nor post-op photos. There are other possibilities and would agree that consultation with your original or another plastic surgeon is your next step. Replacement with larger implants, however, is likely to worsen rather than correct the problem.

John Whitt, MD
Louisville Plastic Surgeon

NIPPLE POSITION POST-AUGMENTATION

Photos of your concerns would be helpful. Generally, if your nipples are facing outward there must have been an increased distance between the nipples prior to surgery or the nipples had a lateral (outward) position before surgery. If your implants have become displaced or you have developed some sagging this may also contribute to the current appearance. I would consult with your plastic surgeon to see what options are available for correction.

Todd B. Koch, MD
Buffalo Plastic Surgeon

Nipple position

Nipples can face outwards after breast augmentation if the implants are placed more towards the midline instead of being centered behind the nipple and areola. Sometimes this is done to prevent a seperated cleavage and should be communicated with the patient. A larger implant will help with the problem to a cretain extend depending on the nipple and areola position. If the patient has lateral position of the nipple and areola to start with they may face outwards but to a lesser extend. more