Breast lift and implants -Nipples too high 18 months post-op? (photo)

Dear specialkai,

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

High riding nipples after augmentation mastopexy can be a result of placing the nipples too high at the time of surgery or more likely, the implants bottoming out / descending down your chest wall with time. Often times suture or mesh is placed beneath the implant to serve as a support for the implant to prevent them from bottoming out. I feel there are multiple ways to address this issue but my preference is to tighten the capsule on the bottom (near the inframammary incision) to push the implant higher on the chest and thus lower the nipple on the breast. I also like to add resorbable mesh ("Internal bra") to this to help support the tissue while it heals and prevent the implant from descending again. Great question!