Akward Nipple/aerola Position After Breast Lift

When I look at breast lift after photos, why are the nipples pointing to the side instead of the center?

Doctor Answers 9

Breast Lift and Position of Nipple/Areola?

Thank you for the question.

The nipple/areola normally point “outward” to some degree. They should be centered on the breast mound;  if not they will appear to be too medially or too laterally positioned.  Occasionally,  technical error can result in the nipple/areola being malposition.

I hope this helps.

San Diego Plastic Surgeon
5.0 out of 5 stars 1,464 reviews

Nipple Positioning with Breast Lift

A Breast Lift (Mastopexy) is a tailoring design in which the nipple complex is lifted to a higher position on the chest wall and the breast cone is positioned underneath it. We always center the nipple complex over the center of the breast but it does not always stay there. With aging, the breast sags again and the nipple complex may be left in a higher "star gazing" position. This is seen more commonly with Vertical T / Wise / Anchor scar skin tailoring lifts than with Short Scar Breast Lift methods.

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 105 reviews

Nipple position after a breast lift

Ideally the nipples should be sited at the meridian of the breast centrally over the most projecting portion of the mound. We try to avoid nipples pointing too inward or outward.  However, anatomical variation sometimes limits our ability to move the nipples to the center if they did not start out that way.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 26 reviews

Akward nipple/aerola position after breast lift

Hard to answer without photos, but my guess is either you had an anatomic deformity before surgery that you did not become aware of. Or the surgery technique or lack there of caused this. Get a second opinion in person.


Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 171 reviews

Position of the nipple and areola with breast lift and augmentation

There are many different factors that effect the location of the nipple and areolas following breast lift (mastopexy) and augmentation. The most important factor is the pre-existing location of the areola. Other factorrs include the size of the implant. Techniques vary which can also effect the location of the areola.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 79 reviews

Nipple position after lift/reduction

Please follow my link.

This doesn't have to be the case.  Careful surgical planning and execution of the surgery should result in a favorable result.  IT is important to remember that  each breast is different, and that a "good result" is different in iach person/breast.

Scott E. Kasden, MD, FACS
Dallas Plastic Surgeon
4.7 out of 5 stars 98 reviews

Nipple position after breast surgery

The angulation and position of the nipple on the breast is not altered, rather it is magnified by an augmentation.  In a lift, the surgeon has the opportunty to move the nipples and change the angulation to some degree.  There is a wide variation of normal out there with some nipples forward and others more lateral.  These are all accpetable but the ones that point centrally (cross-eyed) are the least acceptable and especially need correction.  As Dr. Baxter suggested, discuss your preferences with your surgeon and see what can be done for you in the constraints of your own unique anatomy.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Aesthetics of breast shape after a lift

In general, the goal with a breast lift is to have the nipples in the center pointing forward. However, the patient's own individual anatomy influences this to some degree. Depending upon the shape of the rib cage, the breasts may naturally point to the side, which cannot be changed with a lift. However, the position in terms of distance from the midline can be. Your plastic surgeon should be able to tell you what sort of reults you can expect and you should not hesitate to describe what you do and don't like.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 50 reviews

Nipple placement after breast lift

I'm not too sure where you have been looking at photos, but sometimes you will notice that a breast that has nipples pointing outward before surgery may have similar issues after surgery- this can be due to the shape of the breast and the shape of the chest wall.  The nipple should be placed in the central portion of the breast- if a breast projects laterally off of the chest wall, and the nipples are placed too centrally, the breast will not look normal. Make sure you are comparing to the "before" photos when you are looking at the "after" photos.

Adam David Lowenstein, MD, FACS
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 56 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.