Nipples Too High After Breast Reduction

Question

I had a breast reduction 2 months ago and my nipples are way too high, placed somewhere between 19 and 15cm. I know it's still too early for the final result, but I'm afraid they will not get any lower. How long should I wait before I consider "repairing" that?

Larry S. Nichter, MD, MS, FACS · Answer

There is usually a way to lower your nipples and areolae to a more favorable position. An examination is critical for the best opinion. Most likely you could benefit from raising your inframammary crease and converting the lollipop lift to a T to shorten the vertical scar creating more upper pole fullness. An exam is needed to confirm. Consult with a Board Certified Plastic Surgeon experienced in revisional surgery. See below for suggestions. I would wait between 6-12 months after your original surgery -  until you have a final result and your tissues are once again supple prior to doing a revision.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

It sounds unlikely that your nipple/areola complexes will settle lower.  It is best to wait 3-6 months after surgery to allow settling and softening of the breast tissues before attempting to lower the nipple/areola complex.
Dr. ES

Tom J. Pousti, MD · Answer

I'm sorry to hear about the results after breast reduction surgery. I would suggest waiting at least 6 months after surgery before contemplating revisionary surgery. At that point, you may want to visit with several well experienced  plastic surgeons to discuss options.

	Best wishes.

Steven Wallach, MD · Answer

If your nipples were set at 19 cms or so, they may be a bit high for you. You will have to wait at least 6 months or longer to have them revised, but it is very difficult to lower the nipples.

Peter A. Aldea, MD · Answer

Overly elevated nipple complexes after a breast Reduction / Breast Lift is a known complication which will NOT get better with time. As gravity changes the shape of the breasts and pulls them further down the unflattering results are termed STAR GAZING NIPPLES.  Correcting this deformity is challenging.
The correction is best done when the breasts have achieved their stable position and the post surgical inflammation has subsided - usually 6-8 months. At that time several techniques may be used based on how high the nipple /areola are located, the ideal location of the nipple complex on the breast and the location of the under the breast fold.
Speak to your surgeon and see what he/she suggests.
Good Luck.

Nipples Too High After Breast Reduction

Answers (8)