Is It Just by Chance Your Nipple/areolas Point Up After a Reduction or Can You Specifically Say You Do NOT Want Them To? (photo)

I have never thought of the problem being nipples pointing up after reductions.  But, after reviewing some of the photos that you may be looking at I think what you are seeing is an effect of the breast tissue being too low.  For Breast Reductions in San Antonio I use the SPAIR technique which is a short scar technique that leaves the nipples at the most prominent portion of the breast.  In this location, they point straight ahead.  In many of the "standard" inferior pedicle technique results, you will notice that the most prominent portion of the breast drops quickly and thus the breast tissue hangs low and that makes the nipples rotate to point up.

I would advise you visit several Board Certified Plastic Surgeons before choosing the one you are most comfortable with and reviewing your concerns with him/her.

 

can be customized for your desires.  If you don't like the standard look from routine reductions, let your surgeon know and you will have to decide on just how much to lower them (1-2 cm) and in addition, if you desire the somewhat droopy look, your lower pole will have to be lengthened slightly.  Make sure your surgeon understands your goals and he/she should be able to alter the procedure to avoid what you don't want... BUT still cannot guarantee what kind of result you will ultimately have.  And if insurance is covering this, your surgeon may have to remove minimum weights for this to be covered, which could change the outcome.