Reshape breasts that look outwards? (Photo)

Question

My nipples and breasts have always been pointing outwards, which makes them look smaller than they are, and my cleavage totally flat. Is there any way to relocate and center them? I'm attaching photos of how they currently are and how I would want them to be.

Rodger Shortt, FRCSC · Answer

Breast fat transfer can improve cleavage.  There are however limits to what it can do.  Essentially the fat must be injected into the breast footplate.  The breast footplate is defined as the base of the breast.  Fat can be expanded beyond this somewhat to decrease the distance between the 2 breasts or to give more fullness in the upper breast.  Certainly altering where the fat can be placed, to really customized the shape of her breast, is a positive feature of fat transfer over an implant.

However, the position of the nipple in relationship to the volume of the breast is critical for nice looking aesthetics.  If nipples are located more laterally, then filling the medial breast with a lots of fat is going to actually accentuate the appearance of the lateral nipple.  Where fat is placed must be carefully considered to prevent giving an unnatural appearance to the breast.

The direction the breast faces and the separation between them is largely predetermined and only subtly alterable.

My suggestion is to patients is to get a fuller, beautiful breast...but not try to alter the position excessively as it could look unnatural and unattractive.

Dr. Rodger Shortt, Oakville, Ontario.

Daniel Barrett, MD · Answer

Dear Forceful870994,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Kamran Khoobehi, MD · Answer

The advantage of fat is that it can be placed where it needed most. Fat grafting can help with cleavage and shifting the nipple/areola more central.

Michael S. Kluska, DO · Answer

This is a normal anatomical variant and in your case looks very natural. The underlying issue is usually structural from a slightly outwardly rounded sternum and rib cage. I would be extremely cautious in trying to correct this and would advise&hellip; “buyer beware”.

Connie Hiers, MD, FACS · Answer

The position you want by holding your nipples is done with a bra and is not a natural position for breasts. Nipples do point outward for better breast feeding (job of the breasts). However, a laterally displaced areola can be moved some medially if desired. Fat transfer will not do this.

Mats Hagstrom, MD (license on probation) · Answer

Breast divergence cannot be corrected in any meaningful way.
It’s possible to move the nipple position, slightly similar to how it’s moved in a breast lift.
Moving the nipples towards the midline will put them off center to the breast. we can’t move the angle of your breast or how your breast sit on your chest wall.
Breast divergence needs to be accepted and is not really correctable.
 It is important for those seeking breast augmentation who have breast divergence to recognize the divergence will be put on display or amplified with surgery like breast augmentation that projects the breast further. This is especially true for women who get breast implants.
I don’t think fat transfer is going to correct this situation.
Most women have slight divergence some have more.
Best,
Matt Hagstrom MD

Reshape breasts that look outwards? (Photo)

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