Do I need another lift to move the right nipple or could this be fixed with fat transfer? (Photo)

Question

I am 31 and had a breast lift and implants done back in November. I bottomed our very quickly and ended up having a revision surgery in June. Internal mesh bra was placed and it has helped a bit. They still seem to have dropped. More so on my right breast. My concern is my right nipple as it shows when I wear a bra and just does not seem to be in the correct place. Do I need another surgery to move it or could this be fixed with fat grafting the cleavage?

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  A large portion of my practice is dedicated to revision breast surgery.  In your case, it appears that you would need to have both breasts brought higher up on your chest and more to the center using a internal bra type procedure.  This is known as a capsulorrhaphy.  I wrote the very first paper on capsulorrhaphy.  There is a large disparity in the technique that surgeons use to perform this procedure, and most often these fail.  You are an excellent candidate for this and should be able to have an excellent result.  Best wishes to you.

Gianfranco Frojo, MD · Answer

This is a very complex problem. I would recommend removal of the implants and waiting 3 months to permit the tissues to heal and rest followed by revisionary mastopexy (lift) with implant and Galaflex placement.

John Michael Thomassen, MD · Answer

I think your best bet would be to tighten your implant pocket laterally to move the implants medially and correct the lack of medial pole fullness.  I know you have had recurrent ptosis already so any options to reduce risk of recurrence would be helpful (mesh, smaller implants, going over the muscle, etc.)

Daniel Barrett, MD · Answer

Dear Unknown1245,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Your nipples are fine, but your breasts have bottomed out and need to be lifted. I would suggest going smaller since your tissue will not support the size you have now.  Fat will not be helpful.

Do I need another lift to move the right nipple or could this be fixed with fat transfer? (Photo)

Answers (6)

Answer: Revision surgery

Answer: Revision surgery

Answer: Surgery

Answer: Surgery

Recommended reading

Everything you need to know about Breast Implant Revision

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Do I need another lift to move the right nipple or could this be fixed with fat transfer? (Photo)

Answers (6)

Answer: Revision surgery

Answer: Revision surgery

Answer: Surgery

Answer: Surgery

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.