Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.
Hi, thank you for sharing your question. This can be corrected by addressing the lower pole as you alluded to and can be done through an IMF incision.
I think your suggestion is a good option. Removal of an appropriate "wedge" of breast tissue from the lower pole will help correct the proportion of the breast/areola position. This will help by locating the nipple-areolar complex more centrally on the breast mound. Thank you for the inquiry!
Star gazing NAC/too high is a challenging issue to correct.The best option is excision of the lower pole in the hopes of drawing the NAC downward as well as shortening the nipple to fold distance. It creates the illusion of improved position without actually lowering the NAC.This is by no means a solution but can be helpful by offering a more balanced appearance.As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Thank you for your question — this type of concern is more common than many patients expect after a breast lift.Based on your description, you’re likely dealing with two key issues:Over-elevated nipple-areola complex — the nipples are positioned too high on the breast mound, which can look unnatural or disproportionate.Flattened upper pole — loss of fullness in the top portion of the breast, which reduces overall projection and roundness.Additionally, if your nipple-to-inframammary fold distance is greater than 7 cm, that confirms vertical excess in the lower pole, further distorting the natural balance and making the nipples appear even higher.This combination cannot be corrected simply by “sewing the lower part down.” Instead, it requires a thoughtful revision strategy that addresses:Nipple repositioning to a more centered, aesthetic locationReshaping and tightening the lower poleRestoring upper pole fullness, often using your own tissue without implantsIn my practice, I use a technique called the Revision Push-Up Lift for these situations. It’s specially designed to manage prior scarring, protect blood supply, and achieve natural-looking projection and symmetry — even after a suboptimal lift.You're at 8 months post-op, which is generally a safe time to explore revision options if healing has stabilized.
Removal of some skin from the lower pole of your breast to shorten the distance from the bottom of your areolar to your breast fold can help the appearance of nipples placed too high. This procedure can improve your appearance though not fully correct it.
Lowering the nipple is difficult and usually results in unacceptable scars. If the lower pole of the breast is excessive, it can sometimes be shortened. While this does not technically raise the nipples, it may allow you to wear a bikini or bra without the nipples being too close to the top.
A revision to your breast lift would remove some of the excess skin below the nipple and reposition your breast tissue higher. The nipple position isn't really lowered, but the overall look is more balanced. See a board certified plastic surgeon to learn more.
While they may seem high, it can be improved with a lower pole resection with a small wide implant to fill out the top. Good luck. Don’t move your nipple any higher.
This happens sometimes after a breast lift.Typically what happens is the skin or breast envelope stretches out, creating some droopiness of the breast, but the nipple position stays the same.This describes the illusion of the nipple sitting too high.Perhaps the nipple position was placed slightly high, but it can look like it’s even higher with time.The treatment is generally not to lower the nipple, which is very difficult, but rather to raise the breast tissue by tightening the skin envelope with a revision procedure.Follow up with your provider or schedule a few in person second opinion consultations with other plastic surgeons in your community.Try to always include before and after pictures when getting an assessment.If you don’t have before and after pictures and ask your surgeon to forward the pictures they took.Best,Mats Hagstrom MD
Numbness post mastopexy can occur but is rarely permanent. Temporary sensory changes typically improve over the course of 6-9 months and rarely exceed a year. That being said, numbness/sensory changes are a known risk of surgery and increase in likelihood with the degree of surgery. As always,...
Yes, you can have a breast lift without implants and expect a natural proportionate breast shape. If after the lift you decide you want more volume, then you can opt for a saline or silicone implant, or fat transfer. Thank you for the inquiry!
If fact, yes, it looks like the location of the scar is in a location where the skin will be removed. It would be worth a consultation with a plastic surgeon.