Are my nipples too high, or are my breasts too low? (Photos)

Thanks for your question. Combining an implant with a lift is a difficult surgery and associated with higher revision rates. This is particularly the case with larger implants and in breasts with poor skin elasticity. I would recommend removing an inferior wedge of skin and breast tissue to shorten the distance from your nipple to the crease. I might also consider adding fat to the upper pole. Downsizing your implant will probably give you the best outcome both short and long term. Best of Luck!

Hello and thank you for your question. Your photos are very helpful. After reviewing your images you have what is known as pseudo-– ptosis. This can occur after a prior breast augmentation or a breast augmentation with a breast lift. Based on your images and description, you have a history of a breast lift with augmentation which increases the chance of the implants drifting downward and stretching the lower pole of the breast skin. The only way to truly correct this condition would be to perform a revision breast lift with or without changing the breast implants. This would improve the position of the implants on the chest and place the nipples on the most projecting portion of the breast were they belong. I would be happy to see you in consultation in Miami.Alexander Zuriarrain, MD

Cleveland Clinic Trained Plastic Surgeon

Miami, FL

Thanks for the great photos and question.At this time your breasts are too low. Your nipples are in great position. When bottoming out occurs, the patient has several options to correct the problem.1) Consider smaller implants. They weigh less and exert less pressure on the lower part of your breast.2) Consider further skin resection with internal support of the implant.3) The implant can be moved up to a higher position by either tightening your own tissue (capsulorraphy) or using synthetic mesh/alloderm. This will support your implant in its new position.Have a discussion with your plastic surgeon to see if he can help you. If not, get a second opinion from an experienced Board Certified Plastic Surgeon.Good Luck

Hello,This is called "pseudo-ptosis" because it isn't true breast ptosis but essentially means there is too much tissue on the inferior aspect. The basic way to correct would be to excise more skin and tissue inferiorly. I recommend getting an in-person consult with a board certified plastic surgeon so he/she can talk to you about the options.All the best!Dr. BlaggAustin, TX

Thanks for this question. Your breast lower pole has over-stretched due to the smooth implants and their weight. Your nipple position does not appear too high, but must be examined and measured to confirm. I suggest you see your plastic surgeon.

I think your nipple position is good, but your implants and breast tissue are too low. This can be corrected by re positioning the breast and implant higher, but it may take internal support to keep it there. I would see a board certified plastic surgeon and discuss the options. 

You have pseudoptosis, or bottoming out of your implants. This comes from the weight of the implant stretching out the lower breast and results in a seemingly "high" nipple, low implant, and loss of upper fullness of the breast. the fix for this involves re positioning the implants and some maneuver to help prevent it from happening again.  Get a few opinions, as this is one of the more challenging problems in plastic surgery.

Many patients’ soft tissues lack the inherent strength to support the weight of a sizable implant which causes the lower half of the breast to thin and stretch out leading to a longer distance between the nipple position and the inframmary fold. This is preventable by the prophylactic use of Strattice, GalaSHAPE 3D, or Seri surgical scaffolds. Once these become incorporated into the patients own tissue the result is a much stronger construct that can hold up a large implant. This can also be done in a revisionary surgery. Good luck!

Your breasts are too low due to the implants having dropped.  With revisional surgery the implants could be repositioned, and additional skin and tissue removed inferiorly. You should be able to get a very nice result. However, bottoming out is more complex to fix than the initial operation.

 a little of both. Implants slightly bottomed out and too low and the nipples look slightly high(hard to tell when the implants are sitting a little low).