What Causes Nipples to Be Close Together After Breast Augmentation? (photo)

Question

I'm wondering what causes the nipples to be the cause of nipples being close together and how to avoid that. The first photo is of the patient before surgery and the second is afterwards.

Kevin Tehrani, MD, FACS · Answer

Positioning of th implants in the pocket below the nipples does change the relationship of the nipple areolar complex and the breast. In the patient on the right the implants are moved to the outside making the nipples look inwards. This can be corrected by moving the implants more inwards and upwards.

Tom J. Pousti, MD · Answer

Thank you for the question.

	During breast augmentation surgery, a breast implant “pocket” is dissected. Care must be taken during the dissection to make sure that the breast implant sits on the patient's chest wall such that the nipple/areola complexes are centered on the breast mounds.

	If the breast implant  sits relatively to the side (laterally), the nipple/areola complexes may appear to be pointing inward and or appear to be too close to one another relative to the position of the breasts.

	Conversely, if the breast implant pockets are too close to the midline of the chest, the nipple/areola complexes may appear to point outward.

	 I hope this helps.

Steven Wallach, MD · Answer

It looks like from the second photo that the implants may be displaced too laterally, but it is hard to tell with her pushing on her chest.

Darryl J. Blinski, MD · Answer

Please post more photos because I too agree this might not be the same patient. The post operative one view shows a lateral over dissection of the pocket causing lateral displacement. This gives a visual effect of inward pointing N/As.

Richard J. Brown, MD · Answer

The position of the nipple areola complex on the breast mound pre operatively is usually a good indication of where they will be after augmentation. If they are uneven before surgery then they will be even more exaggerated after surgery. In situations where nipples are really uneven your surgeon may recommend to move one up to match the other. When the pocket is created for the implant and it is too wide such that the implants sit to the sides then the nipples may appear to be pointing inward. Likewise if the pockets are opened too much in the midline and not enough over the outer part of the breast then the implants will sit too much towards the middle and the nipples will appear to point outward. It is important to make an even pocket that allows the implant to sit right behind the existing nipple areolar complex so that they stay centered.

What Causes Nipples to Be Close Together After Breast Augmentation? (photo)

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Answer: What Causes Nipples to Be Close Together After Breast Augmentation?

Answer: What Causes Nipples to Be Close Together After Breast Augmentation?

Answer: What Causes Nipples to Be Close Together After Breast Augmentation? (photo)

Answer: What Causes Nipples to Be Close Together After Breast Augmentation? (photo)

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Everything you need to know about Breast Augmentation

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What Causes Nipples to Be Close Together After Breast Augmentation? (photo)

Answers (9)

Answer: What Causes Nipples to Be Close Together After Breast Augmentation?

Answer: What Causes Nipples to Be Close Together After Breast Augmentation?

Answer: What Causes Nipples to Be Close Together After Breast Augmentation? (photo)

Answer: What Causes Nipples to Be Close Together After Breast Augmentation? (photo)

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Recommended reading

Everything you need to know about Breast Augmentation

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