Breast Augmentation but Nipple Still Sagging? (photo)

I agree with the other plastic surgeons on this forum that two months is simply too early to judge your postoperative results.  Breast implants typically descend over the first six months after surgery, and final results are usually not apparent for up to one year.  As the implants descend, the nipple areolae will appear to be rising (the same way that if the car next to you backs up at the stoplight, you will have the illusion that you are accidentally moving forward).Do not do any further surgery until your results are final (at least six months and preferably a year after surgery).  I suspect that your results will be satisfactory without further surgery.

Hello,

Thank you for the question and the photos.  You have several options available to you to improve the position of your areola and nipple.  A purse-string areolaplasty would be the safest and best at controlling the areola shape and position.  This could even be done in the office under local anesthesia.  The key to that procedure is proper design and the use of a permanent internal suture to prevent scar widening.  A crescent areolaplasty is not recommended as it will stretch the top portion of the areola upwards.  You may also want to entertain the idea of a circumvertical lift (lollipop) as this will also tighten the lower pole of your breast.  Of course I would certainly give it a reasonable amount of time before you proceed with any of the above options since it is early in your recovery period and additional changes will undoutedly be seen.

All the best,

Dr Remus Repta