Mastopexy with implant: Will my nipple placement rotate upward as my implant settles? (Photo)

Gravity acts on your breast tissue and on the implant. If the implant is retro-pectoral and
textured, it may not descend. However,
it is possible your breast tissue will descend.
If your breast tissue descends, the nipples will continue to point
downward. If your implant descends, the
nipples will rotate upward. Time will
tell dominant factor. From your 12 day
photographs, you do appear to have upper pole fullness, mild asymmetry and your
left nipple is lower. You will need to
wait 6 months before making a final decision about your results. Best Wishes,Gary Horndeski, M.D.

Your breasts will continue to change for 3-4 months following your breast lift.  You can expect the implant to drop creating a fuller look at the bottom of your breast.  Remember that one implant may settle into place sooner than the other.  As the implant drops, the nipple areolar complex will also appear higher on the breast.

Hi. Your breasts will change for at least 3 months after the operation
(sometimes up to 12 months), and your implants are likely to down a little over
this time and your breasts change shape - yes your nipples will be pointing more up in 2-3 months. It is normal for one breast to go a
little faster than the other in terms of settling down after the operation. Try
to be patient at this stage and wait until all the postoperative changes have
finished before assessing things.

Gravity can be counted upon to work 100% of the time for 100% of patients. Since scar tissue thickens and tightens in only about 3% of patients, it is a really good bet that your scars will soften and stretch as they mature, allowing your implants to drop and give your breasts more fullness inferiorly, somewhat less fullness superiorly ("up top"), and change apparent nipple/areola orientation to more upwards-pointing appearance. The time frame is what is individual for each patient, based on amount of muscle tone, swelling, scar formation, and innate elasticity (or lack thereof). Thus, this is impossible to accurately predict--it will take weeks to months, but it does so gradually, so each day there is minute progress.I often tell patients that trying to watch this process is as fruitful as watching your grass grow. You can carefully observe, but see no visible progress, then go on vacation for a week, and return to grass that visibly needs mowing. Healing is SLOWER than that, so there is no conceivable way to see this progress by looking in a mirror, or taking daily photographs. Maybe weekly, but even that seems unlikely. Monthly--now you can see the changes, and even then they are not much, and as dependent on photographic parameters as anything else!Your surgeon has done a splendid job and you should be quite thrilled with your work. It will only get better as time goes by. Best wishes! Dr. Tholen

Thank you for your question. It looks like you have a very good result. Swelling you have in the upper pole of the breast is normal at this point. Often times when this starts to diminish the overall shape will significantly improve. Just be patient.