Areolas visible above bra line after uplift, can this be fixed? (Photos)

If one can not lower areolas without scars, it is possible to lift your breast tissue up. Setting lower breast crease (imframammary fold) into higher position on the chest will lift breast tissue from the lower pole in central position, provide some fullness to the upper pole and make your breast loking better shaped. In person consulttion, second opinion, with a board certified plastic surgeon with good reputation in breast surgery, is recommended. Good luck.

The nipple/areolas can usually be lowered by performing a lower pole mastopexy. This would shorten the distance between your nipples and the inframammary folds. This may also improve the indentation you have in the lower breast. Although they cannot be moved very much, it may be enough to keep them hidden in your bra or bathing suit.

Hello @zenithalH1, thank you for your question. Yes, Through a proper surgical technique you can obtain an anatomical and aesthetic shape that allows you to lower nipple position and aesthetic symmetry. Keep in mind that an explantation or breast implant removal should be performed with capsulectomy, along with sending the tissue to pathology to avoid inflammatory processes in the future. When making the surgical plan all aspects are taken into account, including future aspects. For more information and recommendations it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Ok so first things first: I don't recommend lift at the same time as implant removal- unless the areola is dramatically low. Next, although the surgeon is likely happy with the geometric measurements, the aesthetic outcome is not great. The way to lower high areolas is likely to put in an implant (or a tissue expander) to stretch the chest above the areola. Once your skin is stretched out again, I would repeat the breast lift with the plan to not raise the areola at all; instead leave the areola height alone and just work on the lower breast. Complicated, but doable. All the best!!

Thank you for your question. It is very difficult to fix nipples that are too high. However, there are some techniques to lower them slightly. You would benefit from it a horizontal excision which will pull down the nipple. Additionally, your breasts do not have an ideal shape. Re-manipulating the breast tissue may help to achieve a better shape. The other option is to add some fat grafting to camouflage any lumpiness and to add more volume to the lower pole of your breast. Good luck.

Dear zenithalH1,
though rare, some women who undergo breast augmentation will develop a minor deformity known as a “double bubble,” in which additional folds appear underneath the breasts due to the implant accidentally shifting or contracting post-surgery. In most cases, the implant simply slipped too far down the chest wall and traveled behind the breast inframammary crease (the area where the lower breast meets the chest), instead of moving forward to fill the breast cavity. If left untreated, the lopsided implant will form unnatural indentations, resulting in an odd “four-breast effect” rather than the full, rounded chest the patient initially desired.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Your lower folds need to be raised and tighten. Then, you will see that your nipples are in the proper location. Your breasts are sagging down too low.

I'm sorry to hear of the issues you've had since your implant removal and lift. Your photos demonstrate that surgical intervention is needed to improve your result. The indent on the breast may be improved with fat grafting or mesh support. I encourage you to begin by visiting with a board certified plastic surgeon for a consultation and to discuss your options.

You would look very nice with a revision mastopexy (breast lift). The areolas may be made smaller and rounder and the height lowered so they do not 'peak out' of your bras.
Dr. Taranow