Is there a way to bring nipples closer together/more forward if breasts point too outwards towards armpits?

Hi,

When it comes to correcting divergent nipples, especially in the context of breast augmentation or mastopexy, there are a few factors to consider. If you're undergoing a breast lift (mastopexy) or reduction, the surgeon can reposition the nipples closer together during the procedure. However, if you're only having implants, the options are more limited. Adjusting the implant pocket slightly outwards can sometimes shift the nipples inwards a few millimeters, but this technique is unpredictable and unreliable. Dissecting or enlarging the pockets too much is not advisable. Therefore, for patients with significant nipple divergence, a separate nipple repositioning surgery might be the most reliable option, performed some months after the initial breast augmentation.

My comments and recommendations are solely based on your text and are subject to change. I always recommend a face-to-face consultation with a specialist to plan the treatment.

Best wishes, Dr. Surmeli.

Dear jasmineH,
many women seek improved cleavage. Narrowing the cleavage plane can be done very carefully by a skilled surgeon. Moving the implants too far medially can result in synmastia or unaboob which is very difficult to correct. That being said, the right amount of pocket dissection and implant selection can create excellent cleavage. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ideal measurements for symmetric breasts would be for the distance from the suprasternal notch (the depression at the bottom of your neck) to each nipple to be the same and that distance to also the same as the distance from nipple to nipple. However, some patients have nipples that sit further out to the side so that the nipple to nipple distance is far greater than the super sternal notch to nipple distance. These people feel that their nipples sit out to the side and it is true that augmenting patients with these measurements does not improve the nipple position and can make it worse. I am not aware of any reliable procedure that can alter this.

Unfortunately, you have not provided photographs. However, there is a technique called The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. There is also a mini version of the technique where the incisions are only around the nipple-areola complex.

Best Wishes,

Gary Horndeski, M.D.

Without photos your question is just for theoretical discussion. Yes, areola/nipple can be moved in more appropriate position providing that you accept the scars around. Hope this helps.

To bring breasts and nipples more forward and reduce outward pointing, the best options include:
1. Breast Lift (Mastopexy). Repositions the nipples and reshapes the breast tissue without adding implants, giving a more centered and forward-facing look.2. Medial Tissue Adjustmen. During surgery, the internal breast tissue can be reshaped to move volume toward the center of the chest.3. Internal Bra (Capsulorrhaphy). Uses sutures or mesh to support the breasts internally, keeping them from shifting outward.4. Fat Grafting. Adds volume to specific areas, such as the cleavage, to improve forward projection without making the breasts larger.
These techniques focus on reshaping rather than increasing breast size, giving a more natural, forward-facing appearance.

Yes, the nipples can be brought closer to the center of the breast mound to a degree. This will require incisions and/or potentially a breast lift. Implants add volume to the look that you already have. Visit with a board certified plastic surgeon near you to learn more.

The nipple-areola area is supposed to be in the center of the breast. If the nipple is pointing outward, which is quite normal, and moved inward, it may look odd since it may not be at the center of the breast fullness. I would suggest submitting photos so I can be more specific.

Women who have significant breast divergence are going to have this amplified with the projection of implants had a
Fat transfer does not give a lot of breast projection so it’s going to have much less impact because that inherent procedure is Much more subtle.
Consider, including pictures if you want an assessment.
Surgeons cannot move the breast on the chest wall and cannot change the inherent direction that the breast points.
The nipple position can be brought slightly, especially in droopy breast as part of a breast lift, but doing so Aggressively put the nipple in a non-centered position on the breast if it’s divergent.
Unfortunately, not all plastic surgeons discussed this during consultations and women who have breast divergence are sometimes unhappy with the outcome of the breast augmentation not understanding that it was their candidacy for surgery that limited the outcome not how the procedure was done.
Generally speaking there are three variables that determine breast augmentation outcomes.
The first is patient candidacy and this includes variables like breast divergence.
The second variable is implant selection, and the third variable is the surgeons ability to put the implant in the correct anatomic location.
Whenever patients are dissatisfied with the results, we can usually trace the problem back to one or more of these three variables.
There are other complications like cap or contractions that can also cause problems.
Best,
Mats Hagstrom MD