Nipples are not in line with each other. Any suggestions? (photos)

Question

Hello, i have just had an operation an hour ago and I am very worried as my nipples are not simmetric, although they were before. I always though that oneof my breasts is slighlty bigger than the other, however my doctor said they are not. It seems that not only horizontally they are not in line but also vertically. Please have a look at my picture. Is this normal? And what can be done if it is not normal. Thank you very much

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about breast augmentation.You just had surgery and your breasts are taped.  Nothing meaningful can be gleaned from looking at it right now.  Put your dressings back on and stop looking at it.Stay in contact with your surgeon and follow all of his or her instructions.Good luck.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.It will take 3-6 months for you to feel comfortable having implants in your body and for them to settle.  Express your concerns to your Surgeon during your post op visits and follow their post op instructions strictly.  In the meantime, Relax, rest, heal, recover and reassess in 6 months.

The best way to assess and give
true advice would be an in-person exam.

Please see a board-certified
plastic surgeon that specializes in aesthetic and restorative breast surgery.

best of luck!

Dr Schwartz

Jerome Edelstein, MD · Answer

Hello,Thank you for the question and photos. Your breasts may swell and appear slightly different at first as this is essentially two different operations. I expect that your breasts will even out eventually but do share your concerns with your Plastic Surgeon and let them advise you.All the best

Michael J. Brown, MD · Answer

Hi,Thanks for posting your question. I am happy to try and help you. It is important to remember that a board certified plastic surgeon will be your best resource when it comes to an accurate assessment of your situation, and concerns. Having said that, nipple asymmetry should be identified preop to alleviate any anxiety post op. You are too early in the post op to be worried. But you should look and study your preop photos. Because ultimately your result should be your breasts made larger.I hope you found this helpful. Have a great day.

Sugene Kim, MD, FACS · Answer

Hi, CiroMar.  Congratulations on your surgery!  Based on your limited view of the chest, it is difficult to assess your concern.  However, you may have differential swelling and implant settling as you heal.  You are only one hour post-op.  Please give at least 4-6 weeks for swelling to decrease and 3-6 months for implants to settle.  Be patient and follow your plastic surgeon's post-op instruction.  Best wishes.

Steven Wallach, MD · Answer

If you could have posted preop photos that would be helpful, but you are only one hour post-op and difficult to assess completely with dressings, etc.

Darryl J. Blinski, MD · Answer

YEs a real issue. But you did not post before photos to compare the N/A locations.....................

Thomas M. DeWire Sr., MD (retired) · Answer

Ciromar,At this stage you have polyurethane tape tethering the upper pole skin, and that can distort nipple position, as can swelling. You will need to wait until the tapes are removes and swelling has resolved, to properly assess the symmetry, but do ask your surgeon about your concerns when you are seen for tape and suture removal.  I hope that this helps.   General augmentation information follows.

Nipples are not in line with each other. Any suggestions? (photos)

Answers (8)

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