Nipples placed too high on chest wall. Bottoming out. Too heavy. What should I do? (Photo)
Doctor Answers 9
Nipples placed too high on chest wall. Bottoming out.
It is possible that you are feeling the implants significantly along the lower poles of the breasts. Also, consistent with the breast implant positioning problem, the nipple areola complexes seem to be sitting relatively high, because the breast implants have settled too low.
I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation.
In my practice, this type of repair involves a two layer, permanent suture repair (reconstructing the inframammary fold areas). Sometimes, depending on the clinical situation and history, the use of additional support materials such as acellular dermal matrix or biosynthetic mesh is also helpful.
I would suggest that you communicate your concerns again directly with your plastic surgeon. Working together you arrive at the best plan (for example to operate on one or both breasts) to achieve an outcome that you will be happier with.
I hope this, and the attached link (dedicated to corrective surgery for bottoming out concerns), helps.
Seek A Board Certified Plastic Surgeon
Dr Dhaval PatelDouble Board Certified Plastic SurgeonChicago Hoffman Estates Oak Brook
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Nipples placed too high on chest wall. Bottoming out. Too heavy.
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Nipple is now too high after implants.
Nipples placed too high on chest wall. Bottoming out. Too heavy. What should I do?
It really requires an in-person consultation to determine the best course of treatment, but a larger diameter implant (which can be accomplished by going to a lower projection for the same volume) will help give you more upper pole fullness. You may also need the inferior pockets tightened and capsule release superiorly, but again, that is difficult to determine from your pictures alone.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.