I saved up for years to get a breast lift with implants and I am becoming less and less happy with the results as I recover. My nipples are so high, is this due to me bottoming out or were my nipples placed to high in the lift? I am so disappointed that I cannot wear a bikini or a low cut shirt without my nipples popping out all day. Also if I am unhappy will I have to pay for the revision? I have no money saved up for a revision.
Answer: Augmentation Mastopexy Revision Hello,The surgery you had is the most difficult primary breast surgery to perform consistently well, and has the highest rate of complications when performed by inexperienced, poorly trained, or unskilled surgeons. Unfortunately, there are a vast preponderance of those type of surgeons around all too willing to perform the surgery. Based on your photos, there is an element of both dropout and inappropriately high placed nipple areolar complexes. The remedy will not completely fix the problem, but a combination of smaller implants placed higher on the chest wall with a revision lift (where as much skin as possible is removed from the inframammary region) should be performed. Going back to the surgeon you went to doesn't make sense from any standpoint, even if he did it for free. Go visit a few ABPS certified/ASAPS member surgeons who specialize in revision surgery.
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Answer: Augmentation Mastopexy Revision Hello,The surgery you had is the most difficult primary breast surgery to perform consistently well, and has the highest rate of complications when performed by inexperienced, poorly trained, or unskilled surgeons. Unfortunately, there are a vast preponderance of those type of surgeons around all too willing to perform the surgery. Based on your photos, there is an element of both dropout and inappropriately high placed nipple areolar complexes. The remedy will not completely fix the problem, but a combination of smaller implants placed higher on the chest wall with a revision lift (where as much skin as possible is removed from the inframammary region) should be performed. Going back to the surgeon you went to doesn't make sense from any standpoint, even if he did it for free. Go visit a few ABPS certified/ASAPS member surgeons who specialize in revision surgery.
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Answer: Bottoming out? Hello and very sorry to hear about your difficulties after your lift + augmentation. After reviewing your photos it appears that you have both bottoming out and slightly high NAC positioning. This is usually a relatively straight-forward revision lift that can typically be done under local anesthesia in the office and shouldn't be overly costly and might be offered gratis. I would recommend that you discuss your dissatisfaction with your surgeon and work to find a solution together.Best wishes,Dr. Brown
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Answer: Bottoming out? Hello and very sorry to hear about your difficulties after your lift + augmentation. After reviewing your photos it appears that you have both bottoming out and slightly high NAC positioning. This is usually a relatively straight-forward revision lift that can typically be done under local anesthesia in the office and shouldn't be overly costly and might be offered gratis. I would recommend that you discuss your dissatisfaction with your surgeon and work to find a solution together.Best wishes,Dr. Brown
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July 18, 2017
Answer: Unfortunately I think you will need more surgery As you have said this either happens with nipples being placed too high or implants too low. I wish I could see more of your chest wall and see exactly where your collarbone is in relation to things because if you have a lot of space still from your collarbone to your nipple then your problem could be dramatically helped by moving your implants uphill, also called a capsulorrhaphy. But remember moving implant uphill against gravity is a tough operation. But that will do two things. It will receptor your nipple and it will move the bottom crease of your breast up, which allows the bottom of your bra to sit in a better location and cover the nipple! But make sure you find the right doctor because again, it's harder than it seems!!
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July 18, 2017
Answer: Unfortunately I think you will need more surgery As you have said this either happens with nipples being placed too high or implants too low. I wish I could see more of your chest wall and see exactly where your collarbone is in relation to things because if you have a lot of space still from your collarbone to your nipple then your problem could be dramatically helped by moving your implants uphill, also called a capsulorrhaphy. But remember moving implant uphill against gravity is a tough operation. But that will do two things. It will receptor your nipple and it will move the bottom crease of your breast up, which allows the bottom of your bra to sit in a better location and cover the nipple! But make sure you find the right doctor because again, it's harder than it seems!!
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January 15, 2018
Answer: Am I bottoming out or were my nipples placed too high? Thank you for your pictures and questions. Please make sure that you are seeing a plastic surgeon who is board certified by the American Board of Plastic Surgery. If you did not, then go see one for a consultation. If right after surgery, you were pleased with things, then I would say that over time, you have had stretching of the lower part of the breast, leading to pseudoptosis, which will require a revision. If you had very high nipple position even right after surgery, then it is possible that the nipple was placed too high to begin with. This can be very hard to repair properly, so make sure you are seeing the right surgeon. Usually revision procedures are going to come with at least some cost to the patient, even if the surgeon waives his or her professional/surgical fees.Hope this helps!
Helpful 1 person found this helpful
January 15, 2018
Answer: Am I bottoming out or were my nipples placed too high? Thank you for your pictures and questions. Please make sure that you are seeing a plastic surgeon who is board certified by the American Board of Plastic Surgery. If you did not, then go see one for a consultation. If right after surgery, you were pleased with things, then I would say that over time, you have had stretching of the lower part of the breast, leading to pseudoptosis, which will require a revision. If you had very high nipple position even right after surgery, then it is possible that the nipple was placed too high to begin with. This can be very hard to repair properly, so make sure you are seeing the right surgeon. Usually revision procedures are going to come with at least some cost to the patient, even if the surgeon waives his or her professional/surgical fees.Hope this helps!
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July 18, 2017
Answer: Bottoming out Dear youngmommyofone,bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions which is why I try not to use the inframammary approach to any breast surgery. Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies. If you are concerned, please check it with your plastic surgeon. Daniel Barrett, MD, MHA, MS
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July 18, 2017
Answer: Bottoming out Dear youngmommyofone,bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions which is why I try not to use the inframammary approach to any breast surgery. Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies. If you are concerned, please check it with your plastic surgeon. Daniel Barrett, MD, MHA, MS
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