How to fix nipples which are too high? (Photo)

925 cc implants weigh almost 1 kg each and they will continue to descend inferiorly and laterally. The lift was not adequate as the only thing holding up your implants is the skin envelope. You will need smaller implants as well as an eccentric circumareola incision to lower the nipple-areola complex. You may also benefit from an inframammary incision to pull in the extra skin.

Best Wishes,

Gary Horndeski, M.D.

It is hard to tell, but it looks like lollypop scars and not anchor scars; high riding nipples are the number one problem associated with this short scar breast lift. Regardless, there is too much lower pole breast skin that needs to be removed; this will shorten the distance between inframammary fold and nipples and help with the problem. The other issue is your implants are still too low on the chest wall and need to repositioned again.

Your implants are way too large and heavy for your frame and tissue. You need to go down in size and have your lower pockets lifted. You might need mesh. Your nipples are in the right position, but your implants are sitting too low.

I can understand your concern.

This is a particularly troublesome problem.

In my opinion, you will need to undergo an explantation. Your implants are far too large for your frame and your breast.

After everything is settled, following removal, you would undergo a secondary breast reshaping to correct the lower pole. If fortunate, you could undergo a final augmentation with much smaller implants.

Using excessively large implants, increases the chance of undesirable side effects, the need for revision surgery, and complications.
The bigger the implant, the higher, the chance of having all of these problems.
I think your description matches what I am saying perfectly.
The natural anatomic integrity that allows the implant to sit in. The correct position, has been violated during surgery in attempt to fit an implant that is far wider and larger than your natural breast.
When the inframammory fold gets violated, the patient is at high risk for having implants that bottom out.
As the implant it begins to slip downwards due to contractile pressure from the pectoralis muscle and gravity it creates the appearance of the nipples sitting too high.
The nipples haven’t moved. What is changing is the implant position in a condition called bottoming out.
This can sometimes be corrected with using permanent sutures with or without reinforcement with mash.
These reinforcements may or may not be able to hold up to the gravitational and contractile force of the pectoralis muscle overtime.
Without having knowledge of your full history, I’m guessing that all of the problems are in the end related to implant selection primarily.
There are three variables that determine the outcome of breast augmentation surgery.
The first is the patient’s candidacy for the procedure. The second is the selection of implants in regards to size shape, and type.
The third variable is the surgeons ability to place the implant in the correct anatomic position.
If the implant is placed correctly, then bottoming out will not happen because there is sufficient an atomic structures to hold the implant in place.
When choosing implants that are far larger than the natural breast diameter, the chance of these complications go up because it becomes very difficult to get a quality outcome and still leave the implant in the correct position. The implant has to go somewhere, and if the implant is bigger than your breast, then the implant by definition has to violate your breast periphery.
Using excessively large implants, set patients up for the need of complications and revision surgeries.
These revisions may or may not be successful in the long-term, and some patients will in the end eventually fail breast augmentation because of poor choices made earlier in the process.
Your situation is now highly complex, and very difficult to treat.
Best,
Mats Hagstrom, MD