Why Are my Nipples So Low? (photo)

Hello,

Thank you for sharing your before/after photos.

It seems like your HP implants were placed in a may where they are not "centered" behind the nipple but a little superior to it hence your nipples are pushed a little inferiorly.

If you desire a correction, then a Benelli lift (doughnut lift) could be the least invasive but will leave your with scars around the areolae.

I hope this helps. Thank you for your question.

Dr. Sajjadian

In reviewing your photographs, it looks to me like you have a nice postoperative appearance.  The nipples are not perfectly "centered" on the breast mount after surgery - but they were not before surgery either.  I often point this out to my patients and explain that an implant increases the size of your breast; however, it does not "lift" the nipple position (with respect to the breast). The only way to really do that is with a breast lift or mastopexy.  I think you have a nice result and I would not at this time choose a breast lift.  I also would caution you from considering any "fold lowering" procedure that attempts to "lower" the implant. That can put you at significant risk for "double bubble" deformity , etc. , which can be hard to fix.  I hope this helps!

You have choices. Many women would be extremely happy with the way you look and not change a thing. The implants will still get a tad lower with time. If you like the position of your implants, you could do a peri-areolar lift (around the nipple). This lift would place the nipple more centrally on the breast but would result in an incision all of the way around the nipple. Conversely, you could lower the space which the implant is in. In this way the nipple would be more centered on the implant, but you would have less fullness on the top which you may not want to loose. I suggest meeting with your surgeon to discuss these pros and cons.

It appears that your nipples are positioned just below the horizontal midline plane of the implant. If you like where the implants are positioned (fullness of the upper pole then the only way to further improve the implant/nipple relationship is to elevate the nipple/areola. This can be achieved with a donut or Benelli breast lift. The trade off is a scar around the border of the areola. If you want to keep the nipple exactly the same position then you have to lower the implant to make the nipple appear more centered on the implant. When you lower the implant then you may lose some of the fullness of the upper pole that you come to like. Final option is to stay the way you are currently and enjoy the newly enhanced breasts. This is a good discussion to have with your plastic surgeon during your next follow up visit.

Best Wishes,

Stewart Wang, MD FACS, Wang Plastic Surgery

You have a nice result. The fullness on the top is a reflection of the style of implant that was used. The high profile implants have this kind of look.