How realistic is it to expect my nipples to point in the same direction? (Photos)

Hello dear,
Thank you for your question. Based in your question and the pictures you  showed, you are a great candidate for a breast augmentation. Tuberous breasts are one of the most challenging breast shapes to correct. The implant size and shape can be determined by breast measurements during consultation. Perfect symmetry is not realistic, so, just make sure you have a great board certified plastic surgeon that makes beautiful breasts for an amazin result. Im sure youll get great results.Good Luck and stay safe!
Dr. Luis Mejia.  

Hello and great question. I appreciate the time you are spending researching this procedure. My name is Dr. Matthew J. Nykiel. I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Breast Augmentation Specialist. 
After looking at your photo, I believe you have options for augmentation. However, it is important to keep in mind there is no such thing as perfect symmetry. I would definitely recommend doing an in person consultation with a board certified plastic surgeon who specializes in this procedure and who can suggest what is needed. 
I hope that helps! Best of Luck! 
Matthew J. Nykiel MD

Hi.  In order to improve your symmetry, you would need a lift on your left breast.  Although it may not be exactly the same as the other side, it should be much closer.  Hope that helps.  Best of luck!

Thanks for your inquiry and picture.  To create symmetry I believe you will need a larger more projected implant on the right than the left and you will need a lift on the left.  Good Luck.

Hello and thank you for your question and sharing your photos. You do have significant asymmetry and ptosis on one side. You will  benefit from breast augmentation and breast lift on one side. I would use a dual-plane technique, so the implant is only partially covered by the muscle. I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Best,
Pejman Aflaki, M.D.                                            

Johns Hopkins-trained double board-certified plastic surgeon

 

Thank you for sharing your question and photographs.  The best option for improvement of your underlying asymmetry would involve implant placement and a lift of the lower side to better match the position of your right chest.  Hope this helps.

Thank you fir your question. One nipple is substantially lower than the other. The only way to correct this is to move up one or both nipples to achieve symmetry. I would recommend the vertical lollipop type lift along with implants. The scars tend to heal quite well and it will give you symmetry better than implants alone.

Your breasts are asymmetrical in volume, shape and position.  Implants are not lifetime devices.  Also, different size implants will descend at different rates and in the future they may cause more problems with asymmetry.  An alternative to consider is a breast lift of both breasts.  The technique I recommend is a modified Benelli on the smaller breast.  Using a circumareola incision, the breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.  For the larger breast I recommend The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate it higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  Fat transfer can be performed if additional volume is required or to correct volume asymmetry.  Best Wishes,Gary Horndeski, M.D.

Unfortunately, surgeons have created the term tuberous breasts, a fact which causes unnecessary concerns for women. Many women just have different sizes and shapes and in my opinion shouldn't be labeled. After I measure and discuss goals with my patients, we then look at pictures of former patients with similar measurements with different size and style breast implants. My patients tell me that this process is very helpful in determining what size breast implant is right for them. 
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author                           
RealSelf Distinguished Hall of Fame Inductee

Hello! Thank you for your question. In short to answer your question No, you will never have perfectly symmetrical nipples. Based on your existing breasts you have to understand that the goal of cosmetic surgery is never perfection as this is impossible. You can most certainly achieve a nice result with better symmetry but never perfect. Be sure to consult with an experienced board certified plastic surgeon who has experience with cases that are more difficult such as in yours.