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

Thank you for your query. It seems that you had a vertical scar only mastopexy. The nipples do appear be a little higher than ideal and an infra-mammary incision along with skin excision can help. However you will have to balance the risk-benefit ratio of having another procedure on your breasts. Please discuss your options with your Plastic surgeon who can examine you and help you with making an informed decision.

It does appear your implants are bottoming out. You may consider adding bioabsorbable mesh for more support and/or selecting smaller implants. A revision would address the shape and correct the nipple position. I've included a video I hope you find helpful.

Thank you for your photographs. Your nipple position does appear to be on the high side of normal and if you are satisfied with this and no further settling occurs, you may wish to do nothing further. There is not a good way to move the nipple/areola complex downward, so this would be a matter of elevating the level of your inframammary fold and shortening the distance between your fold and your nipples. As you have already had at least 2 surgeries, elevating the implants and setting a new inframammary fold level would likely benefit from using an internal support sling such as an absorbable synthetic mesh or acellular dermal matrix. These help strengthen the tissues to retain implant position. Have a detailed discussion regarding these options with the plastic surgeon of your choice.