What an be done to correct the appearance of wrinkles, sagging nipples after breast feeding? (photos)

Question

Hi I breastfed for my 2 kids for less than 4 years total but noticed they have shrunk in size from before kids and sagging wrinkled nipples. I used to be a B but now I am either a small B or large A and the left breast pictured is a tad smaller. But what bothers me most is the wrinkled nipples especially on that left breast. Is there anything that can be done for the nipples? Will any procedure affect the sensation of my nipples? Thank you for your advice.

Daniel Barrett, MD · Answer

Dear Tasha783,
it is hard to tell for sure without an examination. Based on your photos, it looks like you might be a candidate for fat transfer. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis.  We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Gerald Minniti, MD, FACS · Answer

You have a prominent and relatively heavy nipples that are no longer supported by firm breast tissue. You either have to replace the volume or tighten the areolar skin. One way to address that and also provide volume to both breasts if fat grafting. Alternatively, small implants with just subareolar fat graft would give a predictable breast volume without extensive fat harvest and potential issues with donor sites.

Connie Hiers, MD, FACS · Answer

You lost some volume in your breasts, so replacing the volume will help fill out the breast under the areolar area. This can be done with implants or fat. Your nipple size is fine and does not need to be larger.

Kenneth R. Francis, MD, FACS · Answer

Dear jujifruit,
A breast augmentation with small volume, high profile breast implants will return your breast volume and fill out your areolar wrinkling.  Any surgery on the breast can affect nipple sensation.  Good luck!

What an be done to correct the appearance of wrinkles, sagging nipples after breast feeding? (photos)

Answers (5)

Answer: Breasts

Answer: Breasts

Answer: Breast augmentation

Answer: Breast augmentation

Recommended reading

Everything you need to know about Nipple Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

What an be done to correct the appearance of wrinkles, sagging nipples after breast feeding? (photos)

Answers (5)

Answer: Breasts

Answer: Breasts

Answer: Breast augmentation

Answer: Breast augmentation

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Recommended reading

Everything you need to know about Nipple Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.