Nipples and size shape? (Photos)

Incision on the Areola (peri-areolar) – A full circle incision made along the border of the areola. Heals very well. May be associated with an increased likelihood of inability to successfully breast-feed, as compared to the other incision sites and has an increased risk of capsular contracture (hardening of implant). This incision option is ideal for saline implant placement.  Saline implants require a smaller incision because they are not filled until they are inside the bodyIf this is the incision that you had then there is always a chance that there could be a longer amount of time for your nipple to heal after surgery. You should never hesitate to visit your plastic surgeon for a follow-up if you find yourself concerned at all about the healing of your incisions and scars.

Hello and thanks for your question.

It's difficult to say exactly what the shape and nipple positions are doing post operatively.  From your photo, it looks like the implants are reasonably symmetric, but you have some breast and nipple asymmetry, which may have been present before, but exacerbated by the increased volume.  

I recommend that you ask your PS about their opinion, express your concerns, and have them carefully review your preoperative photos.  If your nipples are at different positions, it will be difficult to keep the implants symmetric.  Typically, I aim to center the implants on the nipples in most cases of mild asymmetry.  We are naturally drawn to look at the nipples as landmarks on the breasts and the curvature of the breast looks best when the nipple is at the most projecting portion of the breast mound.  However, if you have significant asymmetry, you may need a procedure such as a small lift or areolar contouring to make things match better.

Hope that helps and good luck,

Christopher C. Chang, MD 

Washington DC, Maryland, and Virginia