Had breast lift and implants 18 months ago. Implants bottomed out twice and had a final revision surgery with a new surgeon 6 months ago. Am concerned about nipples being high, but not sure if it is nipple placement or am I bottoming out again? Or is everything fine? Wondering if nipples can be moved down slightly by taking extra skin out at the inframammary incision and pulling down?
February 2, 2025
Answer: Breast lift and implants 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
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February 2, 2025
Answer: Breast lift and implants 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
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February 12, 2025
Answer: Revision after augmentation with lift 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!
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February 12, 2025
Answer: Revision after augmentation with lift 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!
Helpful