I was wondering if there is a way to do a breast reduction without relocating the nipples? (Photos)

Question

I had a breast reduction on September 28th, 2016. I'm very pleased with the results. I feel so much better. I'm 53 and went from a 38EEE to a 38C. However, I would rather have scars going above my nipples as well as the underneath and side scars if it meant my nipples didn't have to be relocated. Is there a procedure like that available? My daughter is in need of the same surgery and she's in agreement with me. Thank you for your time, Joy

Daniel A. Medalie, MD · Answer

HI,
I am not sure what it is that you are asking. During breast reduction surgery the nipples are not removed from the breast. The tissue under the nipple with the nipple attached is placed higher on the chest wall as needed to give an aesthetic and functional result. If a nipple is in a good location to start with then it is not relocated. A true reduction, however, will almost always involve moving the nipple to a more centered position on the breast. This by necessity results in scars around the areola and a vertical line from the areola to the breast crease. I hope this helps.
Regards,
Daniel A. Medalie MD

Reza Momeni, MD, FACS · Answer

If the nipples are very low on the breasts, like the first photo shows, you cannot do a proper breast reduction without lifting up the nipples.  So in short, there's no such procedure as you've asked that I'm aware of.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.

Kenneth R. Francis, MD, FACS · Answer

Dear JoyAnn224,
The only way to reduce your breasts without moving the nipples would be with liposuction.  This would likely create significant drooping and downward orientation of your nipples.

Steven Wallach, MD · Answer

Unfortunately there is no way to lift your breasts  and reduce them without putting incisions on them.  That is the trade off.

Robert L. Kraft, MD, FACS · Answer

I understand your daughter's concern about the vertical T scar but you must bear in mind that your scars are fresh and will go on to heal to faint lines.  The methodology you describe is not the way that a breast reduction is performed.  When we remove the nipple in order to relocate it (in patients with extremely long pedicles for whom nipple grafting is performed), this would not obviate the necessary scar placement.  You have a lovely result!

I was wondering if there is a way to do a breast reduction without relocating the nipples? (Photos)

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I was wondering if there is a way to do a breast reduction without relocating the nipples? (Photos)

Answers (6)

Answer: Breast reduction

Answer: Breast reduction

Answer: Breast reduction scars

Answer: Breast reduction scars

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Recommended reading

Everything you need to know about Breast Reduction

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