My nipples look way too high a year after a breast augmentation. How do I get this fixed? (photos)

Thanks so much for reaching out. You're absolutely correct it appears as if you were implants have bottomed out. The best solution for this is for revisional breast surgery. Be sure to speak with your plastic surgeon or another plastic surgeon as a second opinion. Make sure their board certified by the American Board of plastic surgery and specializes in breast surgery and revisional breast surgery, for the appropriate plan and treatment. I hope this helps :-) 

Hi there, Thank you for your question. You will want to discuss your concerns with your surgeon to find out your options for correction. Best, realdrsix 

Thanks for your question!  There are a number of different ways for this to be corrected.  Some of them are a bit more straightforward than others.  I would suggest consulting with a few board-certified plastic surgeons and finding one that you trust, and that thinks they can correct the problem.  Good luck!

Thank you for your question and for attaching photos. It looks like your implants have "bottomed out". You should address your concerns with your plastic surgeon. He or she may be able to do a revision by removing a wedge of skin from the inframammary fold improving your nipple position and the incision placement. Best of luck to you.

Thank you  for your awesome question! Your bio is very helpful, however without the benefit of knowing your full health history and an in person exam it's impossible to say for certain. 
  I would recommend you have an in person consultation with a plastic surgeon with these credentials: *Board Certified by the American Board of Plastic Surgery -- The gold star symbol*A member of the ASPS (American Society of Plastic Surgeons) -- The circle symbol*A member of the ASAPS (American Society of Aesthetic Plastic Surgeons) -- the Queen Nefertitti symbol with a Triangle  *On faculty at local plastic surgery teaching program -- in our office we are affiliated with both Duke and UNC schools of plastic surgery.    Feel free to contact our office, it would be our pleasure to answer your questions in person. I hope this is helpful and wish you all the best in your journey.  My sincere best, Brian S. Coan, MD, FACS 

It is always a good idea to see preop photos. Bottoming out might be taking place.  The implants may be too big. An exam in person would be necessary

It may be that your the weight of your implants has been too much your natural tissue to support and therefore the implants have bottomed out, making the nipples appear too high.  This can be fixed with several methods including excising skin noted her by several docs but also with internal suture "internal bra" techniques.  Sometimes a piece of mesh such as Galaflex can add additional support.  The external wedge of skin technique unfortunately will leave a bigger scar so perhaps this will be avoidable.  Best to speak with your plastic surgeon or seek consultation with another local plastic surgeon for options after an exam.  Good luck!

The distance from your nipples to the infra-mammary fold (crease under the breast) has increased because of the size of the implants, weight of the implants, gravity and time. By excising tissue from from the crease, the distance from the nipples to the infra-mammary fold will become more normal and the nipples won't appear as high. The left breast nipple and areolar complex is higher than the right side. Adjustments can be made during surgery to take the appropriate amount of tissue from each side to achieve better symmetry. Your scars look acceptable and within normal limits. Best wishes!

Hello, Thanks for your photos and your question. First of all, I think your outcome looks really good. This situation is precisely why I ask my patients to send me photos of breasts they consider "ideally shaped" before their surgery. This helps me understand what shape are they looking for. If you show your photos to other women (and men), most certainly around 50% (maybe more) will consider you have an ideal shape. Bottoming is when the implants migrate more than they should, but I would seriously believe that (if you did not specify a certain shape or breast format with your surgeon before the surgery) he/she will tell you that your outcome is precisely what was aimed for. This should not be considered "bottoming" because your breasts are not bad from an aesthetic point of view (you may not like this shape, but bottoming they simply look bad and the areolas pop out of the bikini tops, etc). Solution: Remove skin (wedge) above your infra-mammary fold to reduce the distance between your areola and the fold. Again, I would seriously think about getting a bigger scar in a case like yours. Good luck with this, Dr. Fernandez Goico

Hello and thank you for your question.  You appear to have bottomed out.  If you are happy with your implant size, you would need a breast revision where a wedge of skin and tissue near your inframammary fold would be taken out along with capsulotomies (release of scar tissue) superiorly-- this would shorten your nipple to fold distance and help place your nipples more over the central breast mount while allowing implant to go up; if your soft tissue support is lacking, you may need an internal matrix, but usually that is not the case in my experience. You can also change your implants to a smaller size if desired during this procedure.  Make sure to seek consultation with a board certified plastic surgeon with expertise in revision breast surgery.  I hope this helps and best of luck to you!Sincerely,Dr. Sean Kelishadi