My Left Nipple is Facing Outwards After Breast Augmentation, What Are my Options? (photo)

Thank you for the question and picture.

It is difficult to give you precise advice without seeing your preoperative photographs.  Also, in the future you may want to have a 2nd person take your pictures so that your arms can be at your side (arm elevation may change the appearance of the breasts).

Having said that, it may be that your left breast implants is positioned too far medially;  close to the cleavage area. If this is the case, the nipple/areola complex will appear to point outward.  If this is indeed found to be the case then revisionary breast  surgery involving internal sutures (capsulorapphy)  may be indicated to prevent the breast implant from moving too far to the midline.

I would suggest continued follow-up with your plastic surgeon to express your questions and concerns.

Best wishes.

 

 

Hi,

 I understand from you photo that you do not have a pre op photo.  If you did it would show the tuberous part of your breasts and probably herniated areolas.  The latter condition is merely a looseness of the areola complex being pushed by the breast tissue.

  Also, with your photos on closer look, you did not have an augmentation alone.  you had a donut mastopexy with your augment.  This is done to raise or move the nipple complex and is usually used when the areolas are in a lower position or in a case like yours, it would be the approach by the doctor to flatten the herniated nipples.

  Here is the situation.  You probably had a nipple complex on the left that pre operatively pointed laterally.  The implant is close to where it should be but the nipple complex is not centered as it is on the right breast. 

  The approach to your case would be to use the donut tuck again but with a larger circle on the left nipple complex and this would allow for a better centering of the complex.  If the excess areola is removed at the same time, then you will get the flattening that will make the nipple complexes less herniated. 

  Check your pre op photos  and you will see that a lot of your present condition will be shown in your pre op presentation.

             Steven M. Lynch, M.D.