4 months post op Breast Augmentation, nipples too low? (photos)

Thank you for your inquiry and for sharing your photos.Congrats on your procedure!Based on what you shared, it is a little too early to pass a judgement especially that the implants look like they have not settled into their pockets yet.I recommend that you have a little more patience and you communicate with your surgeon and follow his/her instructions for the best results possible.The best of luck to you.Ali Sajjadian, MD FACS

Thank you for your question and sharing photos.  I would recommend that you continue with breast massage and wait another couple months to assess the final position.  If you find that the implants descend a little during that time, then you might want to wait a little longer.  Ultimately, if there is no change, then you can either lower the pocket to allow the implants to descend more, or raise the nipple/areolar position.

Thank you for your series of photographs and questions.  I can see your area of concern, and at four months you are approaching your final results.  I would speak with your surgeon to voice your concerns.  They can perform an exam to assess the position of your implants relative to your breast tissue and determine a treatment option for correction, which may involve additional surgery.  

thank you for your question and submitting photographs.  This is a fairly common question actually.The augmentation procedure does not alter your nipple position.  There is a wide range of opinion from women with regard to the ideal nipple location relative to the main volume of the breast.Your result is certainly very attractive all while it may not quite your expectations with regard to nipple position.  This is going to change over the next several months however.  The lower pole skin will probably stretch a bit causing an auto rotation giving the appearance of a higher nipple even though it is caused by more fullness at the bottom part of your breast.A relatively minor procedure can be offered called a crescent lift.  I would caution him against proceeding with this for at least 6 months postoperatively since there are going to be some continued changes.Overall result looks great.

Thank you for the question and the pictures. Healing from surgery will take time. In the initial phase after surgery, within the first three months, there is a period of inflammation and scarring that must occur in order for you to heal. The breast implants can appear to be high and not in the right position. Over ensuing months these processes will subside and the inflammatory process gives way to scar softening and remodeling. The swelling will start to abate and the breast tissue will relax and accommodate allowing the implants to settle into their desired position, which is the stage of healing you are at. As the implants settle the nipples will appear to lift. These processes may occur at differing rates so that the breasts may not necessarily "settle" at the same time. I tell my patients that they will not see their final results for at least 6 months.I would encourage you to be patient and continue to follow up with your plastic surgeon. This will allow you and your surgeon the chance to discuss your concerns and help allay any anxieties you may be experiencing. It is almost certain your plastic surgeon will gladly revise your breasts if you remain displeased with the results after the 6 month period.I hope this helps. Best wishes and congratulations.

Even at 4 months the implants will continue to settle over the course of the whole year.  Massage and patience will help you.  Its not that the nipples are in the wrong place its that the implants need to settle behind them.  You don't have far to go and from your pictures you look to have a good result.  Be patient.  Be sure to talk to your surgeon about your concerns, but my guess is that when you reach 6 months or 8 months you'll notice that the implants have settled very well and you'll be very happy.  Best wishes.

Thank you for your question. Judging from your photos, I think the issue is that the implants are high rather than nipples are low. Usually we see the implants have settled into the final positions by 3-4 months but occasionally we see late changes. Continued massaging could help. If there is still no change of implant positions, you and your PS may want to discuss further surgery. 

Thank you for the question.  The implant position is likely too hight giving the appearance of nipples that are too low.  Further time and massage may help, however the process of capsule formation is maturing and I suspect you will be seeing less and less change going forward.  A pocket revision to release the pocket and allow the implants to sit lower is fairly straightforward.All the best,Dr. Remus Repta