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)

Congratulations on your decision to proceed with breast reduction surgery; this operation tends to be one of the most patient pleasing operations performed.

 Choosing your plastic surgeon carefully and communicating your goals carefully with your plastic surgeon will be 2 of the keys to achieving your goals.  During your consultations and during the marking session, make sure you communicate any specific preferences  and/or concerns you may have.

 Best wishes.

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.