Are my nipples too high and what can be done to correct them? 6 months post op (photo)

Question

I’m concerned with my nipples being a little high.. what can be done about that? Are they high enough that I need a revision? My surgery was July 2022

Miguel Mota, MD · Answer

Excellent question! Unfortunately your nipples are high and the implants are low. Good news is that your breast fold is not the problem. The problem is that there is too mush space between your nipples and your breast fold so your implants, and the bottom part of your breasts are falling over the breast fold. This is called pseudo ptosis and is an easy fix!!!

I believe pocket revision with lower breast pole reduction/lift is your best option. This will reposition your implants and will reduce the amount of skin and tissue between your nipple and you breast fold. Giving you tighter lifted breasts with a more aesthetic nipple positioning.

Best of luck,
Dr. Miguel Mota

Semih Yildiz, MD, FEBOPRAS · Answer

Since your surgery was in July 2022, the breast position is likely mature rather than still in early healing. In the visible photo, the nipple-areola position does appear somewhat high relative to the lower breast mound, but an exam is needed to determine whether this is truly high nipple position, implant settling/bottoming out, lower-pole stretch, or a combination.

Revision options depend on the cause. If the implant has settled too low, the surgeon may consider raising and reinforcing the lower fold, adjusting the implant pocket, changing implant size/profile, or using internal support. If the nipple itself is high, moving it downward is more difficult and has to be planned carefully because of scars and blood supply; sometimes the better correction is to reshape the breast mound around the nipple rather than move the nipple much. A revision consultation with measurements from the sternal notch, fold, and nipple position will help decide whether surgery is worthwhile and what correction is realistic.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. it is difficult to say given your arms are up in the photo. Speak to your plastic surgeon about your options. One year out of surgery is an adequate amount of time to address concerns.

Gianfranco Frojo, MD · Answer

I would recommend a revisionary surgery to set the appropriate distance from the nipple to your breast fold. This is a common problem that may happen if there was no horizontal removal of excess skin and breast tissue in the breast fold/lower pole of the breast. I highly recommend finding an experienced, well-trained plastic surgeon with particular attention to revisionary breast surgery. Best of luck

Johanna D'Agostino, MD · Answer

Hi Exuberant171027Thanks for sharing, based on your photo, it seems that the nipples are in good position, but the implant appears to be placed too low on the chest wall causing most of the volume of the implant to be on the lower aspect of the breast. You may consider a revision to reposition the breast implants. However, the first step is to have a discussion with your surgeon or seek a second opinion by a board-certified plastic surgeon for a better in person assessment. Good luck.

Derek Fletcher, MD · Answer

The distance from your nipple to your breast crease appears to have stretched or been designed too long with the original operation. You need a revision lift to correct the lower breast skin excess.

Daniel Barrett, MD · Answer

Dear Exuberant171027,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

Your nipples aren’t too high. Your implants are too low. It looks as if you had a lollipop type lift but it left the lower skin too loose. It should be converted to a full lift which will tighten the lower portion of the breasts so the implants will sit in the correct place

Douglas L. Vander Woude, MD · Answer

I agree with the previous answer.  It looks like your implants have settled too low.  You should review options for correction with your surgeon if it bothers you.  Best of luck.

Michele A. Shermak, MD · Answer

Hello!
Nipple position looks like it might be fine, but they are giving the impression of looking low since the fullness provided by your implants is low. Setting the implants higher will better center your nipples. You should circle back to your plastic surgeon to get measured and discuss your options. Shortening the lower pole of the breast and possibly utilizing a support scaffold like Galaflex may provide you a more pleasing outcome.
Best of luck to you!

Are my nipples too high and what can be done to correct them? 6 months post op (photo)

Answers (14)

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