Had a breast reduction and now my areola and nipples are too high - what are my best options? (Photos)

You are correct with your plan of removing the lower tissue with an inferior incision in the one you have already and that would recenter your nipples and areola without having to actually touch your areolae.

I would strongly discourage you from getting an implant. In my experience patients with wide breasts (they are the ones usually needing a breast reduction) are not good for implants. The implants are much more narrow than the breast and just drop and actually wake the problem worse. It is kind of like your bottoming out but even worse.

So if an implant is not the solution to get a little more fullness in the upper part of your breast than what is? Fat. You would be a candidate to also have some fat placed in the upper pole and cleavage area of your breast at the same time of the inferior incision.

Dear Warmhearted

Thank you for your question. It sounds like you are correct and that your breasts have bottomed out following your second breast reduction.

An exam is need to fully confirm, but it would appear that removing an ellipse of skin at the inframammary fold will improve the nipple position on your breasts. This may, or may not, benefit by reinforcement with mesh.

Attached is an example of my correction of bottoming out without having to redo the incisions around the areola

Adding volume with an implant can be done at the same time if you desire to increase your volume. A virtual consultation may help resolve this question for you.

Best of luck,
Dr. Romanelli

Thanks for your question! There is a method to tightening the lower pole of the breast and then possibly adding an implant for upper pole fullness. I would suggest seeking out an in-person opinion/consultation. Good luck!