Nipple position that end up too high after a lollipop breast lift without implants. How can this problem be corrected?

Question

i had a breast lift with out implant done and the nipple position are to high. i have to be careful what tops i wear as it shows above the neck line. how can this problem be correct it? thank you

Vincent N. Zubowicz, MD · Answer

The distance from the bottom of  your areola is much too long. This is what comes of trying to avoid the horizontal incision.  to rectify the problem a more conventional mastopexy approach will be required in the revision.

Kenneth Hughes, MD · Answer

I have had good success with these cases in breast revision by multiple maneuvers.   Kenneth Hughes, MDLos Angeles, CA

Larry S. Nichter, MD, MS, FACS · Answer

An examination is critical for the best opinion. Most likely you could benefit from raising your inframammary crease and  converting the lollipop lift to a T to shorten the vertical scar  creating more upper pole fullness. You may be a candidate for a graft. An exam is needed to confirm.  Consult with a Board Certified Plastic Surgeon experienced in revisional surgery. See below for suggestions.

Alejandro Nogueira, MD · Answer

Your surgery was not carried out with the suitable meticulous preoperative marking of the new NAC location, furthermore your vertical scar is too long and additionally you have pseudoptosis.My solution:-moving downwards the NAC, but this will leave a vertical scar above it of equal lenght of the descension-converting your vertical pattern to a full T-removing all the ptotic breast tissue and replacing it for an anatomical ultra-adherent-shell breast implant, ideally macrotextures and if available polyurethane-coated, so that the pseudoptosis does not recurSeek a very very good revision surgery master.

William Andrade, MD · Answer

Thank you for your inquiry.  Some of the operations to lower the nipple position on the breast mound result in visible scars on the upper part of the breast.  Another option is to remove some of the skin along the lower breast crease; technically this does not lower the nipple but it lifts up the breast mound.  This can improve the overall appearance of the breasts.  Your plastic surgeon can provide a proper assessment and discuss the options in further detail.

Robert Brueck, MD · Answer

This is not always easy.You can lower the nipple by removing some skin along the infrmammary fold.I would try this first.

Jourdan Gottlieb, MD · Answer

This is a very difficult problem, better avoided in the first place by proper planning. An in person exam will be needed to offer a reasonable solution. Most likely it will involve converting this to an anchor pattern lift, with excision of lower pole breast skin to shorten the vertical length below the areola, and to elevate the breast tissue. A second opinion from another surgeon seems best.

Darryl J. Blinski, MD · Answer

Yes, but a very difficult problem to correct. Best to seek only in person opinions from expert PSs in your area...

Zach Barnes, MD · Answer

Thanks for your question and sorry to hear about your issue after surgery. It does appear from the photo you would benefit from decreasing the vertical skin distance below the nipple. This would mean converting to an anchor type scar from the lollipop. In your case it is especially important to have a consult and in person examination, with a detailed discussion of goals, plans, and outcomes. Best Wishes.

Steven Wallach, MD · Answer

I think that you need to be seen infernos to determine at what position your nipples are, and how long the lower length of the breast is, etc to determine what can be done to improve their appearance.

Nipple position that end up too high after a lollipop breast lift without implants. How can this problem be corrected?

Answers (13)

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