I’m 32, done having kids. My nipples fold over and look saggy. I want implants and want to increase my size 2 cups. Is there a separate procedure I will need to have to fix my nipples or will the implants push them out enough that they will appear not as saggy?
Answer: Implants and nipple placement To answer your question, " Will implants fix my sagging nipples"? Implants will only help pop up nipple placement to a certain degree. There are many factors that need to be considered before concluding that in your specific situation only implants would help. Generally, if your nipples are at the bottom of your breasts, or pointing down, implants will not help this situation. You will need if not a lift, a second procedure to fix your nipple placement.
Helpful
Answer: Implants and nipple placement To answer your question, " Will implants fix my sagging nipples"? Implants will only help pop up nipple placement to a certain degree. There are many factors that need to be considered before concluding that in your specific situation only implants would help. Generally, if your nipples are at the bottom of your breasts, or pointing down, implants will not help this situation. You will need if not a lift, a second procedure to fix your nipple placement.
Helpful
September 22, 2018
Answer: Implant Profile, Type and Sizing Selection Hi Megan3043, Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. Implant profile is one of the important considerations to make. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This is associated with several problematic consequences. The first issue is that the patient loses width and therefore cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. High profile implants do have a role in symmastia repair (when I need to narrow the base width) but otherwise I try to avoid them. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements. Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match. Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small. You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals. Daniel Barrett, MD, MHA, MS Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
September 22, 2018
Answer: Implant Profile, Type and Sizing Selection Hi Megan3043, Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. Implant profile is one of the important considerations to make. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This is associated with several problematic consequences. The first issue is that the patient loses width and therefore cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. High profile implants do have a role in symmastia repair (when I need to narrow the base width) but otherwise I try to avoid them. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements. Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match. Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small. You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals. Daniel Barrett, MD, MHA, MS Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
August 15, 2018
Answer: Sounds like you would like a papuloplasty Saggy nipples can make you feel less sexy and vivacious. Sounds like you have a specific augmentation goal in mind. I'll help with your specific implant selection when we do custom sizing in the office setting. Your decision making about the augmentation includes the desire to have your nipples rejuvenated at the same time. A papuloplasty is a plastic surgical procedure that happens in the office or at the time of the augmentation surgery. It does not increase your recovery time to change the shape or perkiness of the nipple. If you've already had your augmentation, then I can perform a papuloplasty on one or both sides in the office under local anesthesia. If it is too big it can be reduced in projection or diameter, to make it look less conspicuous. The scars are imperceptible. If the nipple is inverted, it can be everted to look like a normal projected papule.
Helpful
August 15, 2018
Answer: Sounds like you would like a papuloplasty Saggy nipples can make you feel less sexy and vivacious. Sounds like you have a specific augmentation goal in mind. I'll help with your specific implant selection when we do custom sizing in the office setting. Your decision making about the augmentation includes the desire to have your nipples rejuvenated at the same time. A papuloplasty is a plastic surgical procedure that happens in the office or at the time of the augmentation surgery. It does not increase your recovery time to change the shape or perkiness of the nipple. If you've already had your augmentation, then I can perform a papuloplasty on one or both sides in the office under local anesthesia. If it is too big it can be reduced in projection or diameter, to make it look less conspicuous. The scars are imperceptible. If the nipple is inverted, it can be everted to look like a normal projected papule.
Helpful
August 9, 2018
Answer: Saggy nipples Unfortunately, you did not include a picture for evaluation. Nipples that are too long or "fold over" as you described can be reduced in length if necessary. This could be done under local anesthesia in an office setting. I don't think that simply adding implants will solve the problem long-term. I suggest that you visit a board-certified plastic surgeon who can evaluate you in person and review your options with you.
Helpful
August 9, 2018
Answer: Saggy nipples Unfortunately, you did not include a picture for evaluation. Nipples that are too long or "fold over" as you described can be reduced in length if necessary. This could be done under local anesthesia in an office setting. I don't think that simply adding implants will solve the problem long-term. I suggest that you visit a board-certified plastic surgeon who can evaluate you in person and review your options with you.
Helpful
August 8, 2018
Answer: Sagging Nipples Hello and thank you for your question! Placing an implant alone will NOT lift your breasts. Your nipple position will still be low and the breasts will still have some ptosis (drooping). A breast lift will certainly lift your breasts to a desirable position. However, as you may know, a breast lift will require more incisions and thus resulting in more scarring. It is often times challenging inserting a larger implant during a breast lift surgery because of the risks associated with this. Such risks include: a lot of pressure on the incisions with a larger implant can cause poor wound healing, premature sagging. Often times when the procedures are separated into two step procedures, a patient is able to have larger implants. Step one would be to have the Mastopexy (Breast Lift) surgery alone. Step two would be to have the Breast Implant surgery.I would suggest seeing a board certified plastic surgeon in your area for a thorough examination and evaluation. Best of luck to you!
Helpful
August 8, 2018
Answer: Sagging Nipples Hello and thank you for your question! Placing an implant alone will NOT lift your breasts. Your nipple position will still be low and the breasts will still have some ptosis (drooping). A breast lift will certainly lift your breasts to a desirable position. However, as you may know, a breast lift will require more incisions and thus resulting in more scarring. It is often times challenging inserting a larger implant during a breast lift surgery because of the risks associated with this. Such risks include: a lot of pressure on the incisions with a larger implant can cause poor wound healing, premature sagging. Often times when the procedures are separated into two step procedures, a patient is able to have larger implants. Step one would be to have the Mastopexy (Breast Lift) surgery alone. Step two would be to have the Breast Implant surgery.I would suggest seeing a board certified plastic surgeon in your area for a thorough examination and evaluation. Best of luck to you!
Helpful