My nipples are not symmetric - How can this be fixed? (Photos)

Question

I am looking for some advice- I don’t know if I’m looking into it to much but my nipples / breast sit quite unsymmetrical. I was looking for some advice if possible

Brian K. Reedy, MD · Answer

Thank you for your question! From what I can see in this photo, you need a capsulorrhaphy in the lower medial portion of your breast. I think that implant is sitting a little bit lower and by getting that implant a bit higher, it should make the nipples look more even. However, your upper pole looks fairly even, and this will make that upper pole look higher. No two breasts are the exact same, so we just have to pick what subtle asymmetries we are willing to live with! Best of luck!

Frank Agullo, MD · Answer

Nobody is perfectly symmetrical. Breasts are more like sisters than identical twins, so it is not even a question of whether they are exactly aligned, it is the matter of whether the difference is significant enough for a scar to pursue correction. Based on these two pictures, it primarily appears to be a difference in implant height which results in a difference in nipple height. Your left implant inframammary fold is lower, which makes the nipple higher.

In cases of solely a nipple position issue on the skin, a small revision of the areola can correct it, but you trade the lack of symmetry for a scar that goes around the areola. If the one implant is elevated or shifted off to the side, it is necessary to revise the breast implant pocket rather than adjust the nipple, as doing so would not address the underlying cause.

To me, your asymmetry is relatively minor and falls within the acceptable normal range.

#StayBeautiful,

@RealDrWorldWide

Donovan Rosas, MD · Answer

Slight asymmetries are not the exception but rather the rule.

Based upon your photos alone, you have a very reasonable result. There are some slight/subtle differences which may or may not have been present pre-op. Augmentation can sometimes place a spotlight on these differences. It is akin to watching a movie on your phone vs. IMAX. It is crucial to determine whether the subtle differences preceded surgery or are a function of the surgery.

As the implant falls the nipple areolar complex will rotate upwards. Post op issues such as this may be amenable to capsulorrhaphy and pocket adjustment.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Gerald Minniti, MD, FACS · Answer

The breast with the higher nipple contains the implant that has subtly dropped out. The surgery to correct this is called a capsulorrhaphy and it will bring that implant back up into the pocket.

Daniel Barrett, MD · Answer

Dear chloworrallx,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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

Ira H. Rex III, MD · Answer

Nipple asymmetry is extremely common.  Sometimes there are a number of surgical ways to improve symmetry, but any surgical procedure carries risk.  You can consider going to a plastic surgeon to get an in person exam and another opinion, but you should surely consider excepting your asymmetry and enjoying very nice breast augmentation results.

Semih Yildiz, MD, FEBOPRAS · Answer

In the photos, there is mild breast and nipple/areola asymmetry, with a difference in nipple position and breast shape from side to side. This is very common, and the best correction depends on what is causing the asymmetry: breast volume difference, skin laxity, nipple height, chest wall shape, or a combination of these.

If the difference is small and you are otherwise happy, observation is reasonable. If you are planning surgery, options may include different implant sizes or profiles, careful pocket adjustment, fat grafting, or a small lift/areola repositioning on one side. A periareolar lift can help minor nipple height differences, but larger differences may need a vertical or other lift pattern. An in-person exam with measurements is needed to judge which option would improve symmetry without creating unnecessary scars or overcorrecting.

Wayne I. Yamahata, MD · Answer

it appears that your nipple is higher on one side where the implant is sitting slightly lower. Adjusting the implant position would lower the nipple. Having said this, the asymmetry you are seeing is subtle and the question is whether the benefit of a surgery outweighs the risks. Personally, I would say it does not and would favor deferring surgery.

Camille Cash, MD · Answer

We are all asymmetric to some degree.  You may want to review your pre op photos to see if this same asymmetry was present prior to surgery.  Sometimes breast augmentation can highlight asymmetries.  You didn't mention how long ago your surgery was performed.  If it was recent your implants may still be settling.  I encourage you to discuss your concerns with your surgeon.

My nipples are not symmetric - How can this be fixed? (Photos)

Answers (9)

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