Are my nipples too low after breast augmentation? (Photos)

Question

I am 3 weeks post op. I know it’s early in the healing process, but I think my PS made my inframamary fold incision too high. I think that the distance between the lower pole of my nipple and the fold is too short. I did not have saggy nipples before and now I feel the fullness of my implant is making my boobs look this way since it doesn’t have much space to fall into. Pre-op: 34A 130lbs, 5’5, 24yo no children 425cc, moderate plus, smooth, silicone, under the muscle, infammamary incisions.

Ted Eisenberg, DO, FACOS, FAACS · Answer

At 3 weeks, you are about 15 percent settled, shaped, softened, dropped and fluffed. "Drop and fluff" refers to the fact that as the skin stretches and the muscles relax, the implants move down and out slowly – about 1 percent a day. It’ll be about six weeks before they even begin to settle down, but they’ll be close to 80 percent settled and softened at three months. Watching their progress is like watching your hair grow. You don’t see a difference in your hair growth daily, but all of a sudden you need a haircut. 
Be patient after surgery. Give yourself a few months before making a judgment about your surgical results. You won't know the outcome until then. 
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and AuthorRealSelf Hall of Fame Inductee

Brian E. Rosett, MD · Answer

Everything looks fine for the time frame after surgery. Now is the time to start doing some massage to help encourage the implant to drop and stretch out the lower pole skin. Your surgeon can teach you that or you can look online for breast implant massage.

Jeffrey Umansky, MD · Answer

I completely understand your concerns. Based on your photos, your breast implants appear to be sitting relatively high at this time. Once your implants begin to drop into their final position, the appearance of your breasts will change.  As the implants drop, your nipples will begin to turn upwards. At 3-weeks postoperatively, it is not abnormal that the breasts are still sitting a bit high, as it can take several weeks to several months for the implants to fully settle. I recommend discussing any concerns with your surgeon as well, he or she is best equipped to answer questions regarding your case. Best of luck!

Brian K. Reedy, MD · Answer

Congratulations in your recent procedure! While your implants are still sitting higher up on your chest wall, as you already know, you are pretty early in the healing process. As you continue to heal you will find that you implants will begin to settle, or drop and fluff, into a more natural resting position. Give yourself about 3-6 months worth of healing. Good luck and congratulations again!

Pejman Aflaki, MD · Answer

Hello and thank you  for  the question and sharing your photos. Your implants are still sitting high on your chest wall, which is common early after breast augmentation. As they drop over the next several weeks, the lower poles stretch and the nipples will rotate upward. You should be more patient and continue to follow up with your surgeon. Breast binders can often be helpful in facilitating this process. Speak with your surgeon to see if it is something he recommends. Best,Pejman Aflaki, M.D.Johns-Hopkins trained double board-certified plastic surgeon

David R. Alfonso, MD, FACS · Answer

As you know three weeks is still very early and implants under the muscle take a good 2-4’months to settle into position. Your breasts appear to have a right lower pole which can take longer to settle.  Ask your surgeon about massaging them and allow more time to pass

Daniel Barrett, MD · Answer

Dear oneperspective,I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Christopher V. Pelletiere, MD · Answer

With a breast augmentation, it takes most women a full three months for everything to soften, settle, and feel like the breast itself.  It is not unusual for them to appear high at first, especially in someone who has not gone through any pregnancies.  I recommend massaging 2-3 times a day for 5min each time.  Over the next few weeks they should start to look fuller at the bottom and more natural up top, changing how the nipple sits to a degree.  Just be patient and give yourself the full three months of healing.  I hope this helps.

Patricia A. McGuire, MD · Answer

I see your concern at this early stage post op. It’s not that your nipple position is low, your implants are still too high. This will improve with time, anywhere from 2 months to a year and they may drop at different rates. It looks like you will have a very nice result.

Camille Cash, MD · Answer

You are still very early in your recovery and can expect changes ahead.  As you continue to heal your implants will drop into the pocket and the look and feel of the breasts will soften.  I know it is hard to be patient, but more time is needed.  Your final results will not be seen until about 6 months post op.

Are my nipples too low after breast augmentation? (Photos)

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