Nipple repositioning after implant removal - is this possible? (Photos)

Question

I’ve had 3 disappointing revision surgeries with different surgeons. I’m ready to remove the implants and try to make what i have as aesthetically pleasing as possible. Ideally, I’d like to have my nipples point forwards and be closer together, and the little tissue i have repositioned to get rid of the east west look. Pictures of me before and now, and my desired result. Is this possible?

Christine Fisher, MD, FACS · Answer

Hi Orion.  Going through 3 revisional surgeries sounds tough.  I'm so sorry.  I see few different challenges in your case.  You naturally have a wide cleavage along with a prominent breastbone (possibly a pectus).  It may be possible to bring your nipple closer together with a explant and lift.  I would also likely recommend fat grafting to a patient such as yourself.  Breast revisional surgeries are technically very challenging.  I highly recommend seeking out a board-certified plastic surgeon such as myself that has extensive experience in tough breast reconstruction as well as revisional breast surgery cases.  Best of luck acheiving your aesthetic goals!

Chet Mays, MD · Answer

Thank you for your inquiry!  We would love to meet with you to discuss your concerns. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Richard Baxter, MD · Answer

your pre-existing nipple position was quite lateral, and they definitely point more forward with the implants. However, having implants expands the skin envelope and re-distributes the breast tissue over time; this means that a breast lift is almost always necessary. Nipple position could be medialized when that is done. Depending on what your current concerns are and details of your revision procedures, it might make more sense to keep the implants but reposition them higher and do less of a lift to improve nipple position.

Alan Gonzalez, MD, FACS · Answer

Hello @orion724, thank you for your question.  You could have an explant with total capsulectomy and given that you have good mammary tissue I consider a breast lift to reacomodate the mammary tissue and lift the areolas and nipples. The breast shape is improved by reorganizing the breast parenchyma.  To shed more light, I share a video. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS.    International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Daniel Barrett, MD · Answer

Dear orion724,
it is hard to tell for sure without an examination. 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

Nipple repositioning after implant removal - is this possible? (Photos)

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Answer: Nipple repositioning after implant removal - is this possible?

Answer: Nipple repositioning after implant removal - is this possible?

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Nipple repositioning after implant removal - is this possible? (Photos)

Answers (10)

Answer: Nipple repositioning after implant removal - is this possible?

Answer: Nipple repositioning after implant removal - is this possible?

Answer: Nipple repositioning

Answer: Nipple repositioning

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Recommended reading

Everything you need to know about Breast Implant Removal

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