I'm not happy with my NAC being so low, and the lower pole. What things should I be asking about a revision? (Photos)

June 6, 2025
Asked By:Neat715466 in Harker Heights, Texas

I had bilateral nipple sparing mastectomy in December 2024. It was supposed to be direct to implant, but my skin was not in good enough condition to do that. Implants were placed Jan 2025. I have always had very little lower pole. It was a concern going into this. I’m not happy with my NAC being so low. Also not happy with the little change in lower pole. I thought my skin was going to stretch and that would be improved. To top these issues, the left breast is contractured due to bleeding that occurred after my drains were pulled. That led to the left breast being massive and swollen at first. I see my surgeon next week so I am wanting to know what sort of options I should be thinking about.

5 photos

Answers (3)

From board-certified doctors and trusted medical professionals
MOST RECENT
June 30, 2025

Answer: Smaller implants and elevated nipple-areola complexes

Gary M. Horndeski, MDBoard Certified Plastic Surgeon
MOST RECENT
June 30, 2025

Answer: Smaller implants and elevated nipple-areola complexes

Gary M. Horndeski, MDBoard Certified Plastic Surgeon
June 30, 2025

Answer: Possible lift , but waiting a bit may be worth it.

Adam Tattelbaum, MDBoard Certified Plastic Surgeon
June 30, 2025

Answer: Possible lift , but waiting a bit may be worth it.

Adam Tattelbaum, MDBoard Certified Plastic Surgeon
June 28, 2025

Answer: You are correct.

Ram Kalus, MD, FACSBoard Certified Plastic Surgeon
June 28, 2025

Answer: You are correct.

Ram Kalus, MD, FACSBoard Certified Plastic Surgeon

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