Downturned nipples 7 months Breast Augmentation post op - what are my revision options? (photos)

Question

I did a breast augmentation in September 2021, i had tuberous breasts grade I .I didnt really care much about size it was more about shape. I preferred anatomic implants but my surgeon recomended Siltex round high profile gel breast implant cohesive I 300cc saying they act as ergonomic implants and i would have a good result. After 7 months I still see my nipples are dowturned and my implant looks high. He tells me its normal and i have to wait but i dont see any changes, i feel very insecure.

Daniel Barrett, MD · Answer

Dear Intuitive728240,
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

Charles Durrant, MA, MBBS, FRCS(plast) · Answer

The nipple is downturned because it is sitting below the mid point of the implant. Correcting this is usually a simple case of lowering the implant a little bit. You will lose a little bit of fullness in the upper pole of each breast but will fill out the lower pole a bit more and centralise the nipples. Be warned that the scar will necessarily be lifted a little onto the underside of the breast by doing this. Another option is to switch out for a shorter height teardrop shaped implant which will preferentially expand out the lower pole of the breast, lifting the nipple inot a better position, but comes with a risk of rotation, particularly if done as a revision operation. Speak to a plastic surgeon for more info on this. Good luck

Joshua B. Hyman, MD · Answer

It sounds like your surgeon is steering you in the right direction and pictures show terrific results. It will continue to get better and more natural. The nipples seem to be in the perfect location for this early in the healing process.

Connie Hiers, MD, FACS · Answer

If you truly had tuberous breasts, you have excellent results. Now that your tissues have been stretched, your implants could be lowered a small amount so they sit better behind the breasts.

Darryl J. Blinski, MD · Answer

Thanks for posted photos. Appears the circum areolae incision healed indented thus causing the downward appearances of the area of the N/A. But also "SILTEX" that is a textured implant! Must be changed ASAP! Either call your surgeon to exchange to sooth implants from textured and revise the incisions via pickle fork release and micro fat grafting or demal fat grafting.

Downturned nipples 7 months Breast Augmentation post op - what are my revision options? (photos)

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Answer: Breasts

Answer: Breasts

Answer: Downturned nipples 7 months Breast Augmentation post op - what are my revision options?

Answer: Downturned nipples 7 months Breast Augmentation post op - what are my revision options?

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Everything you need to know about Tuberous Breast Correction Surgery

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Downturned nipples 7 months Breast Augmentation post op - what are my revision options? (photos)

Answers (5)

Answer: Breasts

Answer: Breasts

Answer: Downturned nipples 7 months Breast Augmentation post op - what are my revision options?

Answer: Downturned nipples 7 months Breast Augmentation post op - what are my revision options?

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Recommended reading

Everything you need to know about Tuberous Breast Correction Surgery

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