One of my nipple is pointing up and the other one is pointing down!! Any suggestions?

Question

So, I just, had my Breast implant done a week ago. One of my nipple is pointing up and the other one is pointing down. My surgeon told me that, in times my implants will drop and my nipples will come together, my question is what if my implants drop and my nipples still pointing weird, will he replace them or take my implants out at no cost??

James F. Boynton, MD, FACS · Answer

I also cannot say anything for sure without seeing a photograph; however, In general, with my patients I recommend to them to not worry about these things at one week out from surgery.  There is still swelling that needs to subside.  Breast implants are usually in a higher position than they will ultimately be at (if they were placed under the muscle), and it takes time for them to "settle".  Implants "fall' at different rate.  Sometimes it can take 6-8 weeks.  Usually, breast augmentation is really not involved in changing your nipple position unless you had some type of incision around the nipple.  I get this question quite a bit and always explain to my patients that I am not changing their nipple positions unless we do a mastopexy (breast lift), and in time its fine. Usually the nipples end up very similar to where they were before surgery once the implant has settled. This is something that is important for you to discuss with your plastic surgeon. I hope this helps!

Vincent N. Zubowicz, MD · Answer

If your breasts were symmetrical prior to the breast augmentation they will end up that way when healing process is complete. Most surgeons discuss their policy for revisions, which all plastic surgeons face now and then, prior to the original procedure.

Guy Watts, MBBS (Hons), FRACS (Plast) · Answer

You are very early in the post operative phase so I would not judge your final outcome by what you see now. You will see the most change over the first 6 weeks after surgery as the implants settle in place but ideally you need to give yourself 3-6 months to see the results.RegardsDr Guy Watts

Aldo Guerra, MD · Answer

Hello kycaldwell,After just one week, it is too early to say that your current result is permanent. Most likely, your breast result will change over the next few months and usually they begin to look more and more natural as healing progresses. In addition, it is possible that your nipple and breast structure was already this way before surgery and you should look over your before photos with your surgeon and have him/her address your concerns. Every surgeon has a different policy about revisions and costs. But again, it's way too early to even think about a revision after 1 week! Don't look at your breasts more than twice a week from now on so you do not become obsessed by these issues. Best wishes, Dr. Aldo.

Vincent P. Marin, MD, FACS · Answer

Without photographs, it is impossible to tell you more about your situation. It is common for your breasts to recover at different rates. Normally Time will solve many of these issues. However, most doctors will want to see their patients have the best possible result. Every surgeon has their own specific routine on revisions.Continue to follow up with your surgeon to ensure that you progress as planned. 
Best of luck!

Todd C. Case, MD · Answer

At this stage, it is way to early to tell what the final outcome will be.  Implants usually take 3-6 weeks to drop or settle, but may take 3-6 months.  If your nipples are still in different places, a present or doughnuts mastopexy can be done to improve the symmetry.  Remember, just about every one has some asymmetry in their breasts (size, shape, areola dimensions, nipple position, etc).  Whether your surgeon would charge you for such a procedure is up to them.  It would be very reasonable for them to charge you for this additional procedure.

M. Dean Vistnes, MD - Account Suspended · Answer

At 1 week it is still very early in the healing process after breast augmentation and some asymmetry is normal. As the implants soften, settle and drop with breast shape will change. Give your body time to heal. It is too soon to be considering any revision surgery and every surgeon has different revision policies so you would need to discuss costs with his or her office. Good luck! Dean Vistnes.

Vincent D. Lepore, MD (retired) · Answer

If you are just one week post op, things may change substantially over the next few weeks, including which direction the nipples point.  I suggest you follow your surgeon's advice and let you breasts to settle before becoming too concerned.  Discuss your concerns with your doctor.  If the issue doesn't resolve he/she will be be the best one to tell you what might be done.  Best wishes, Dr Lepore.

One of my nipple is pointing up and the other one is pointing down!! Any suggestions?

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