5 weeks post op of Breast Augmentation, why is my nipple still pointed downward? (photos)

From your photographs, the breasts appear to be healing well. There is continued swelling for up to 6 months following surgery and the implants take several months to settle and drop. Breasts move normally from side to side and an implant will continue to allow the breasts to move normally.  Incisions feel hard for up to a year until the scar tissue in the area of the incision resolves. Please be patient, healing takes time.

Hi.  It would be easier to comment with a preop picture, but in general, there are limits to how high a donut lift can move the nipple areolar complex.  The rings are expected scar tissue, with maturation this will soften & flatten. The puffiness ("full of air") look will also improve. It takes months before the implant pocket is fully mature, so while it is hard to do so, try and hang in there.  You appear to be healing well otherwise.  Be sure to keep your postop appts with your surgeon and follow their directions on implant massage if needed and scar care.  Best wishes, Dr. Doolabh

As your breasts heal and the implants drop the nipple will continue to be pushed up. So wait at least 6 months before considering another procedure. And it is normal for large breasts to fall towards the axilla when laying down.

If only 5 weeks you are looking fine. The periareola lift often has some swelling that takes 3-4 months to flatten out. Keep following you docs instructions and update us on your progress please. Good Luck!

The period of time immediately following combination breast lift/augmentation surgery is characterized by rapid change. During this dynamic period of time, swelling, muscle spasm, inflammation and the healing process itself all contribute to changes in the appearance of a woman's breast. In some cases, swelling and muscle spasm can displace the breast implants in a superior direction when implants are placed beneath the muscle. This can result in an artificial upper breast fullness and inferior malposition of the nipple areola complexes. Based on your pictures, I believe this is a distinct possibility.In some cases, superior implant displacement may be due to inadequate dissection of muscle insertions of the inferior portion of the breast pocket. There is no evidence that this has occurred in your case. With time, assuming adequate pocket dissection, these implants might return to a more normal position. Sometimes, the use of a bandeau superiorly and massage can facilitate this process.It may take 3 to 6 months for these implants to drop into a normal position. If no progress has occurred by then, revisional surgery may be necessary. This would involve recreating the lower portions of the breast pocket.It's important to have good communication with your plastic surgeon. Make sure he's aware of your concerns. He is familiar with the specifics of your surgery and will be able to give you appropriate direction.

It appears that your breasts haven't dropped and settled, yet. This usually takes three to four months, so please wait a little longer before assessing results.