Should I get a 2nd opinion from a different surgeon as nipples show after 2 surgeries? (Photos)

Question

I’m 5 foot 4, 26 years old. I’ve had breast augmentation twice now. My nipples show when wearing bikinis, vest etc. The second was revision for the scarring, large nipples and shape of breasts. I’ve come out of revision still feeling like my nipples are way too high. I told my surgeon before the revision about how my breasts have bottomed out, he said he would tighten the underneath so my nipples were in a better position yet they still are bottomed out. I wear bikinis they show, I wear low cut tops/ dresses they show. This is the second time it has happened to me now

Wayne I. Yamahata, MD · Answer

Your nipples appear to be centered rather low on the implants. It appears that the distance between your nipples and the crease below your breasts (inframammary folds) is excessive. Shortening this should increase fullness in the upper part of your breast, resulting in a lower position of your nipples on the breast mound. The would require a revision or secondary breast lift. There is no harm in getting a second opinion, but you should discuss options with your current surgeon as well.

Ronald J. Edelson, MD · Answer

I’m not clear whether you had a lollipop lift or a full anchor. If it was a lollipop lift it needs to be converted to a full anchor and both skin and breast tissue need to be removed.

Daniel Barrett, MD · Answer

Dear Raeann7,
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

Connie Hiers, MD, FACS · Answer

Your implants are too large and heavy for your tissue and will bottom out with time as they are doing so now. I would advise going smaller and tightening the lower breast fold again to reposition your breast higher. Your nipples are probably in the correct position, but your breasts sag down too low.

Mark Eberbach, MD · Answer

This can be a tough problem to fix. In your case, however I think there is a solution.

You will need to remove your implants and do a breast reduction without lifting your nipples at all.  This will reset your tissues to their normal position eliminating the lower pole excess. A much smaller more attractive breast will result.

After healing a smaller implant could be placed. The result will be better and more compact.

Good luck.

Should I get a 2nd opinion from a different surgeon as nipples show after 2 surgeries? (Photos)

Answers (5)

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