Is my nipple too far out? 6 months post-op breast augmentation. (photos)

Yo will need a revision surgery to correct your problem. It appears the original dissection of your breast pockets were not done laterally enough. This should be relatively easy to correct. Also ask your surgeon about trying to elevate your incisions a little while they are revising . You may need to consult with a second surgeon if your first surgeon was not able to diagnose your problem. Good luck.

A number of options may be available to center your nipples more on the breast mound. Ideally, the implant could be moved more laterally or to the side. This would have the effect of moving the nipples inward or toward your sternum/breast bone. Without the benefit of preoperative photographs, it's hard to estimate the degree of change that could be achieved. There are women who naturally have nipples positioned to the sides and placing implants may not result in an appreciable change.

This may well reflect a pre-op difference. If you have pre-op photos you can do the comparison. The focus of a BA is usually to optimise cleavage and fullness, not move the nipple medially. There may well have been a tradeoff here if your nipples (especially the left) were relatively laterally positioned.

Generally, it is difficult to address this as your breasts sit on the breast foot plate on the chest wall. Enlargements essentially change the shape and volume of the breast, with the breasts centralised over this foot plate. There are no photos of before, but I suspect that your nipples were lateral on your breasts to start with and the augmentation has made this more obvious. The risk of placing an implant close to the midline to enhance the cleavage area is that your nipple ends up being offset on the breast and will appear to be on the outside of your breast rather than in the centre.

For optimal outcome, please consult a fully qualified plastic surgeon, who has specialist qualification in plastic surgery 'FRCS Plast' after having being trained adequately in the field of plastic surgery, is registered on the 'Specialist register for Plastic surgery' with the General Medical Council and has been considered competent enough to be a member of the 'BAPRAS' (British Association of Plastic Reconstructive and Aesthetic Surgeons) and 'BAAPS' (British Association of Aesthetic Plastic Surgeons) at the least.

Good afternoon,
Your implant is placed too medially, which rotates your nipple outwards making it point off to the sides- that is likely a technical error in pocket creation. If you original surgeon cannot or will not correct it then seek an experienced revision surgeon.

Dear Modest81306,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for sharing your question and photographs. Without photographs before your surgery it is difficult to comment but it appears that your nipples were likely located further to the side of your breast and once augmented the positioning has been magnified. I would allow your results to fully mature, discuss your current concerns with your surgeon.

You did not post your before photos, but I suspect your breasts still looked similar, just smaller. The base of your breast is not moved with an augmentation. However, I would discuss this with your surgeon since your medial pocket could be tightened and your lateral pocket opened more if needed. This would give a wider space between your breasts.

Your preoperative nipple positions seem far from the midline, but this is a normal condition that can be seen in many people. The implant should have been placed centered on the nipple. However, especially your left implant is too close to the midline. To correct this condition, it is necessary to reposition the implant, perhaps using moderate profile implants.

I would suspect if we saw your preoperative photos we would see fairly lateral pointing nipples which is quite a common finding. Generally in these cases you have the choice to augment and accept laterally placed nipples or to do some form of mastopexy to shift them or medially.In this case I think you could get some improvement if the implant capsule was released laterally and plicated medially to shift the implant more under the nipple and giving you a little more side boob.