Nipples are too high post explant. Will implants with more upper pole fullness help my nipples look lower? (Photos)

Thank you for your question. It is almost impossible to really lower the nipple position. However, making upper pole fuller by inserting the implants will make nipple look lower. Also, by removing remaining skin in the lower pole and make lower pole shorter, will help to visually lower the nipples.

You may want to talk with your surgeon about possibly removing a little skin from the lower part of your breast when you go in for the new implants. This would add very little to the surgery time and recovery and could help bring your nipples down.

Dear brit415,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello @brit415 Thank you for your question and showing your pictures. Always when I perform a breast explant, it is necessary to do a breast reconstruction with reposition of the tissues and in this way achieve an aesthetic result that is adequate. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS

Hi,
Thank you for the question.
Based on your photos, it does appear that your nipple position is slightly higher than normal.
There is a breast revision technique that can help lower the nipple position but removing extra skin at the breast fold scar, without adding any new scars to the breast.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reduction and Breast Revision surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

The nipples cannot be moved down, but the lower breast tissue can be excised to help improve the position of the nipples. You might discuss this with your surgeon who is doing the augmentation.

From your photo it does appear your nipple position is a bit high. An examination is needed to know for sure, but you may need more than an augmentation to correct this. I encourage you to discuss your concerns with your surgeon.

Implants alone will not correct this issue. This is a very difficult problem to correct the Nipple need to be lower and surgery to do that leaves a scar above the areola. I would discuss this with your surgeon.

Sometimes the reason that the nipples ride high is because of the long nipple to inferior fold distance. When this distance is high, the nipples look up. So when you have the implant surgery, this distance may also be reduced resulting with a similar horizontal scar below and nipples will look straight instead of looking up.