What can be done to correct lateral displacement and high nipples? Could this be capsular contracture? (photo)

Question

I had a breast lift and augmentation in 2021. I had smooth ultra high 315 sillicone put in. I noticed after a few months that my nipple was too high and some lateral displacement was occurring. My surgeon advised me to wait and see if it got better. It hasn't and has been really upsetting me. I felt like he gave me a bigger result than discussed. I am going back next week to discuss options. Is this capsular contracture? Is it worth going under the knife again or can the same result happen?

Daniel Barrett, MD · Answer

Dear Sensible715578,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. I have been in practice for almost 30 years and revision breast surgery is been a large portion of my practice. In fact, I wrote the very first paper on internal bra-capsulorrhaphy. I find that most breast revision surgeons do not do this correctly and oftentimes rely on meshes to support in an inadequately performed capsulorrhaphy. You should be able have an excellent result with a properly performed capsulorrhaphy and revision of your mastopexy. Best wishes to you.

Gary M. Horndeski, MD · Answer

At this time, I recommend explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Your implants have bottomed up which gives the appearance that your nipples are too high. They are probably in good position. The inferior fold can be corrected to raise the implants and breast back up. I would recommend going smaller and using mesh for better support. The lateral pocket can also be tightened so the breast does not fall so much to the side. Go back and talk to your surgeon.

What can be done to correct lateral displacement and high nipples? Could this be capsular contracture? (photo)

Answers (4)

Answer: Surgery

Answer: Surgery

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Everything you need to know about Breast Implant Revision

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What can be done to correct lateral displacement and high nipples? Could this be capsular contracture? (photo)

Answers (4)

Answer: Surgery

Answer: Surgery

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Recommended reading

Everything you need to know about Breast Implant Revision

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