Nipples too high after breast reduction, can this be corrected? (photo)

Thank you for the question and pictures.

 It sounds like your plastic surgeon's plan is a good one; removing additional skin/tissue along the lower poles of the breasts should help center the nipple/areola complexes (on the breast mounds) so that they do not appear to be “stargazing”.

 Best wishes.

The picture shows that your nipples are a little too high. I usually like to place the nipples slightly above the fold under the breast and about the level of mid arm. It is not easy to lower the nipples because it would leave a scar above the areolas. In your situation I would remove a piece of skin and breast tissue transversally above the lower breast folds. This will reduce the breast size and reduce the distance between the fold and the nipples. If done properly it can increase the fullness above the areola, improve the bottomed out look and lower the nipples a bit. Good luck.

Operations that try to limit incision length may have unwanted consequences.  The excessive length between the areola and the crease of the breast is commonly seen with operations that do not have a horizontal component along the inframmary crease.