What is the Optimum Distance from Collar Bone to Nipple? Doctor Answers, Tips
Breast Augmentation: Q&A
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What is the Optimum Distance from Collar Bone to Nipple?

After several consultations for breast augmentation, I have been given a different solution by each surgeon; ranging from breast aug. w/ asymetry correction (no lift) to full anchor lift with aug. I am not concerned w/ scarring but want a youthful shape. That being said, I don't want to endure unnecessary incisions if a good result can be achieved w/o a lift. Is there an optimum distance between collar bone and nipple? Can I use this measurement to help decide which plan is best for me?

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17 Doctor Answers | Asked by C.Ann2004 in Bothell, WA
+3

The Optimal Position of the nipple is halfway between the shoulder and the elbow

Youthful breasts are high on the chest wall. The ideal position for the nipple is halfway between the shoulder and the elbow. If the breasts are hanging, most likely you will need a breast lift. There is a new technique called the "Ultimate Breat lift" which does not require vertical scars or the traditional wise pattern. There is no single optimal distance from the collar bone to the nipple. Best of luck, Gary M. Horndeski, M.D.
+2

The best breast is one that best fits your individual body

There are certainly variations in the “Optimal Distance.” Some women have small torsos and others have large torsos and some have wide chests or narrow chests. Most commonly, I use the nipple to sternal notch distance as a good baseline. I formulate a “breast triangle”. The two sides of the triangle are from the right nipple to sternal notch and the left nipple to sternal notch. The base of the triangle is measured from the left nipple to the right nipple.... more
+2

Measurements for breast lift

The optimal distance from collar bone to nipple varies according to your height and chest width. Various ways to determine optimal nipple position include: 1. the aesthetic breast triangle...distance from sternal notch to L nipple, sternal notch to R nipple, and distance between nipples...all being the same number, 2. 1/2 the humeral distance from shoulder to elbow, 3. Just above the IMF along the breast meridian, 4. In the center of the breast mound. All of these ways can be... more

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+2

Breast shape and nipple position more important than specific numbers

Photos would be helpful to at least discuss the relevant possibilities for your particular situation. Without them and an examination, answers can only be conjecture. Fixed distances to be used for determining whether or not a lift should be done is inexact and inappropriate as there is such variability despite the common belief that the normal distance is 18 - 21 inches. What is more important is the shape of your breasts, laxity of skin, and nipple position. You may need to seek a... more
+2

Indications For a Breast Lift With Augmentation

The distance between your nipples and the top of your chest (suprasternal nothch) should be somewhere around 21cm and in an equalateral triangle. However nipple position is not the only factor in deciding whether a lift would give you the optimum shape. If you have a lot of extra skin or a breast gland that falls below the fold at the base of the breast a lift may be needed so that the skin envelope is a good match for the implant size you have chosen. ... more
+2

Breat augmentation

There is no simple answer to your question because it is a proportions that we are really dealing with. This is a relative distances and the best look in regard to a nipple on a thorax depends on your height, obviously, but also on where the breast mound is located on the chest and also on what is pleasing to your eye and the surgeon's eye. There is no way to begin to answer this question for you specifically without an examination and consultatiion, but some basic ideas... more
+2

If nipples are lower than the folds under your breasts, you definitely need a breast lift.

Hi. Very hard to generalize without detailed exam, but that is a good rule of thumb. Distance from notch between your collar bones to nipples varies more with height and frame, but it should not be more than 23 centimeters. see video
+2

Pictures would help us to give you better answer

The indications for the breast lift are many and one of them is the distance from the nipple to the sternal notch. Your picture can be helpful.
+2

Breast Lifting Needed?

Thank you for the question. The “ideal” distance from the sternal notch to nipple averages 21 cm. Be careful that you do not rely on this measurement alone to determine whether you will benefit from breast lifting surgery. The relationship of the nipple/areola to inframammary fold ( best viewed from the side) it is of critical importance. Also, the presence of “loose” skin may point towards the need for breast lifting surgery. It would probably... more
+2

Augmentation and/or lift

I would have to say that the standard ideals of old were measurements in books of 18-21 cms are probably not accurate. Often if nipples are lifted to those heights, they look too high. It really depends upon yoru body habitus and how the breast and nipple areola sit as compared to where your breast fold is.
+2

Breast implant sizing and measurements

Various measurements can be used for best position. 18-21 cm from clavicle to nipple is one number you can measure from the sternal notch you can look at the mid point of the upper arm you can measure a projection from the inframammary fold
+2

Sternal Notch to Nipple Distance

A very good question. There is no "correct distance" but rather the distance from the sternal notch (not the collar bone) to the nipple is measured on each side for comparison The distance tells whether there is symmetry. A better measurement for the location of the nipple is how it relates to the inframammary fold.
+2

Sternal Notch Distance and Breast Lifts

While the distance from the sternal notch to the nipple is an important measurement in planning breast surgery, it is just one of the "important" measurements that must be taken into consideration before proceeding into surgery. Many women can have a very appropriate nipple to sternal-notch distance for their body build and height and yet have excessive bottoming out of the breasts which will require a lift to obtain the optimal aesthetic result. Because women... more
+2

Optimal Distance from Collar Bone to Nipple

One common measurement that is mentioned is the distance from the sternal notch (indentation above the breast bone) to the nipples - which is commonly 19 to 23 cm. However, this is a guideline and it does not apply to all patients. Each patients individual proportions need to be considered when considering the best option for breast surgery.
+2

Nipple to collar bone distance

I agree that this measurement has little value in determining the need for a lift. The shape of your breast, the position of the nipple relative to the breast fold, and the amount of breast tissue that descends below the breast fold when standing all help determine the need for a lift. There really is no way to know for sure without seeing you in person or evaluating photos of your breast. There certainly are situations where you could choose to do either a lift or just an... more
+2

Nipple to collar bone measurement is not useful

The distance from the collar bone or the notch at the top of the sternum in the middle of your neck is not useful at all in my opinion in deciding whether to do a lift or not. The entire need for a lift is based on the relationship of the nipple and the lowest point of the inframammary crease below the breast. If the nipples have drifted down to near, at or below the crease or are pointing down, a lift is positively indicated. Implants won't lift you either. Some... more
+1

The ideal distance of the nipple on the chest

Ideal proportions call images of Leonardo's drawing of the 'ideal' man and have been studied in art and plastic surgery for decades. Proportions are just that however and there is no magic measurement from your collarbone that will determine where the nipple should be. There are guides we use however, one of which is Penn's triangle. If you draw lines from the sternal notch, nipple to nipple there will be an equilateral triangle, the length of the lines will average 21cm... more
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