Advised Against Breast Implants Due to Low Nipple Placement?

I'm 28 years old with a breast size of 34b and desire a full C cup. I do not have any children but do not plan to for another 4 or 5 years. At my consultation, the surgeon advised against an augmentation due to my nipple placement. He said I have more skin above my nipple and that if I were to get an implant, my nipple may seem to point downward. He suggested a breast lift would help however, it wouldn't make sense considering I still plan on having children. I do not want a fat transfer, any options?

Doctor Answers 12

Breast Augmentation and Lift

   If you want larger breasts and you do not want fat transfer, then you will need breast implants.  Simple.  With regard to a lift, I perform augmentation and lift at the same time.  Make sure you seek out a board certified plastic surgeon with ELITE credentials who performs hundreds of breast augmentations each year.  Kenneth Hughes, MD Los Angeles, CA

Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Breast Implants

Get another opinion.It is impossible for anyone on this site to give you a definitive answer. Find a surgeon that does a large number of breast augmentations and has at least 10 years of experience.

Gregory Sexton, MD
Columbia Plastic Surgeon
4.9 out of 5 stars 73 reviews

Lift vs. Implant

Hi Bella. Without a picture no one can tell if a lift is necessary. Some people have a constricted lower pole of their breast. This means there is a short distance from the nipple to the crease. Several techniques can address this and allow it to open up some. I would recommend you get a second opinion from a Board Certified Plastic Surgeon. That person should also be able to explain the need for a lift. Best of Luck!

M. Scott Haydon, MD
Austin Plastic Surgeon
4.8 out of 5 stars 90 reviews

Breast lift or breast implant?

Without a picture, it is impossible to advise you other than in general terms.  You could have a breast lift and still have children and breast feed.  A breast lift should not disrupt your breast-feeding apparatus.  The nipple is NOT removed.  Also, a breast lift could be done with or without a breast implant.  My suggestion would be to get a second opinion from another plastic surgeon who can examine you in person.

Edwin C. Pound, III, MD
Atlanta Plastic Surgeon
4.6 out of 5 stars 25 reviews

Photos would help

Hi Bella,  I agree with the other surgeons, that without either detailed measurements (sternal notch to nipple distance, nipple to inframammary fold distance, etc.) or photos, it is impossible to answer this question accurately.  Most likely your surgeon has given you good advice, but if you want further advice photos would be helpful.

Best regards,

Dr. Lane Smith

Lane Smith, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 93 reviews


Hi Bella,

I would recommend you submit photos of your breasts to RealSelf.  It is difficult to comment on your situation without a front and lateral view of your breasts.

Todd B. Koch, MD
Buffalo Plastic Surgeon
4.6 out of 5 stars 36 reviews

Breast Augmentation

You need another consult.  You are absolutely a candidate for breast enhancement surgery.  Choose a surgeon with extensive experience in cosmetic breast surgery and ask to see photos. Make sure they are Board-Certified in Plastic Surgery.  Not all Plastic Surgeons have the same level of experience, competence and artistry.  Good Luck!

Brian K. Reedy, MD
Reading Plastic Surgeon
4.9 out of 5 stars 145 reviews

Advised Against Breast Implants Due to Low Nipple Placement?

There are a number of techniques to deal with the issue you present to us. One is a breast lift, but there are others that may or may not be suitable. Specific suggestions might be possible were there some photos to look at. Please consider re-posting your question. You may also want to consider additional in person opinions.  All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Nipples low and implants?

More information would be helfpul.  If your nipples are low and skin very loose, you probably need a lift.  If it is just  a slightly low nipple then a circumareola lift only can be performed with implants. A consult in person is key.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Can do breast augmentation with low nipple placement.


Without pictures, we have to stick to generalities.  I would advise you to get one or two other opinions.  Pretty sure you can have implants.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 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.