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From the photo you are a candidate for a breast lift. The nipple position will be slightly above the level of your breast fold. Visit with a board certified plastic surgeon near you for a consultation. She/He can demonstrate for you what you can expect in terms of results.
The nipples are repositioned to sit at or slightly above the center of the breast mound. Of course it depends on the individual's body proportions.
Yes, the new position will be either at, or just below the tattoo. A breast lift/reduction will be very helpful in reshaping, lifting and proportion. I would not hesitate to proceed as I think it will meet your expectations.
I ideal placement of the nipple is in the middle of each breast, roughly at level of the mid-point of arm, about 18-22 cm from the sternal notch, and about at the level or just above the natural fold under the breast. I take into consideration all of the parameters previously mentioned as well as the patient's desires and anatomy. In your case, yes, it would be close to where your tattoo is now.
I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA