Why is my right breast higher but the nipple is lower even after scar tissue was released? How can this be solved? (photos)

Nipple position following a breast augmentation is in large part dependent on the placement of the breast implant along the vertical axis of the breast. This is in turn dependent upon the position of the inframammary fold. If the fold is too low, then the implant will sit too low relative to the nipple and the nipple will point up. The solution to nipple asymmetry in a situation where the inframammary folds are asymmetric is to reconstruct the inframammary folds in order to create symmetry. 

elliemae,Your photos do show a fair degree of breast asymmetry.  Your left breast is too low and as a result makes your left nipple seem high.   I would suggest a revision to your left capsule to raise/support the implant in a better more symmetrical position.  The right breast may benefit revisional surgery as well.   This will be better assessed during an in person consultation.   I encourage you to discuss these concerns with your surgeon or seek consultation with a board certified plastic surgeon.Best,Dr. Mooty

First of all I totally understand what the other doctors are saying. However I wouldn’t necessarily call it bottomed out but rather more of a low set implant which many, many women want and like. I think both of your breasts look  good, they just don’t look as similar as you want. So I think one question is.... which one do you like more? Remember it’s easier to lower an implant (albeit,  you had an inadequate operation under local anesthetic, it’s still should be easier) than it is to raise one. Regardless of what doctors are telling you, which one YOU like more should determine which operation you pick.

Thank you for the photos.  It does appear that it is the left breast that is the issue not your right.  The left breast implant is sitting lower and appears to have bottomed out.  The solution is to lift up the left side to obtain better symmetry.I would consult with a board certified plastic surgeon to discuss your options.Hope that helps.

Dear elliemai,
Bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery.
Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies.
If you are concerned, please check it with your plastic surgeon for reassurance and to further discuss your options and possibility of revision.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Based on the photo, you might want to consider pocket revision. Tightening the pocket on the left breast and releasing the pocket on the right may be enough to improve the appearance and symmetry of the breasts. You surgeon, however, will be the best resource of information as he/she knows your condition best.

Your left breast is too low and needs to have the lower pocket tightened, and your right might need to come down a bit. this is fixable. I would suggest going back to your surgeon or seeing another board certified plastic surgeon.

I am sorry that your results are not the best This can be corrected with pocket revision on both breast. Your right breast is too high and left one is bottoming out. Your before pictures would be helpful too. Please see the link

Ellie,I disagree with you and your surgeons evaluation.  It appears that your LEFT breast has bottomed out (descended too low).  It should be revised (under anesthesia) and elevated back to the correct position.  This is not a very difficult procedure, but must be performed by a skilled Plastic Surgeon adept at performing it.  Some cases require a sling (piece of tissue sutured under the bottom to stop recurrence).Make sure you have confidence with your surgeon.  Ask specific questions.  Do not be embarrassed to question their diagnosis and proposed fix.Dr T

Your left breast is "bottoming out". The implant has dropped too low on your chest and needs to be lifted to correct the situation.