I have no upper pole fullness. Is my implants bottomed out or nipple too high? (photos)

Question

I recieved a breast lift and saline breast implants in 2014. Desiring "fake" look of implants, and much upper pole fullness. In every bra i wear my nipples are always above the bra even though the cups fit perfectly. Anything I wear with cleavage I have to be careful because where my cleavage is, also is where my nipples fall out. Im confused as to whats gone wrong and if I could change anything

Edwin C. Pound, III, MD · Answer

Based on your pictures, it appears that all of your fullness has descended into the lower portion of your breast.  I think you need a revision of your breast lift.  I would suggest that you consult with a board-certified plastic surgeon who can examine you in person and review your options with you.

Tania Medina de Garcia, MD · Answer

Hello dear, thanks for your question and provided information as well.. Everything appears to be that you have too large implants and your skin is relaxed too much, I would recommend you to have another lift to get the fake look, because you will need to have a lift, hugs!

J. Garrett Harper, MD · Answer

Yes- your implants have bottomed out.  My advice would be to go with a smaller, gel implant that is textured and beneath the muscle.  You then need your breast tissue and skin re-lifted and tightened for a more beautiful result.  There are lots of great plastic surgeons in Atlanta- I was trained by many of them.  Hope this helps.-JGH

Lisa M. DiFrancesco, MD · Answer

Thank you for your question.  Your implants have bottomed out and are sitting to low. A revisional surgery will correct this problem. You should consult with a board certified plastic surgeon with experience in revisional surgery.

Darryl J. Blinski, MD · Answer

Best to be seen in person./ After a detailed breast examination the PS could offer you an explanation and revision surgical plans....

Jon A. Perlman, MD (retired) · Answer

You appear to have quite large implants and your skin has relaxed allowing excessive settling.  Changing to smaller silicone implants (for less weight and water hammer effect) and adjusting your skin and nipple size to match is imo your best option.  You might even discuss with your ABPS Bd Certified plastic surgeon deflating your implants to allow for some skin recovery before your revision.  Best wishes.Jon A Perlman MD FACSCertified, Am Board of Plastic SurgeryExtreme Makeover Surgeon ABC TVBeverly Hills, Ca

Brooke R. Seckel, MD, FACS (retired) · Answer

Based on your photos the breast implants have bottomed out. A revision can be done that could include reducing the areola size. Please see a board certified plastic surgeon.

I have no upper pole fullness. Is my implants bottomed out or nipple too high? (photos)

Answers (7)

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