Nipples in the wrong location after breast reduction - What happened and should I be concerned going forward? (Photo)

Question

I am 4 1/2 weeks post surgical. At week 1, I noticed my left nipple was low, and looked as if it was in the wrong place. My doctor said it could be inflammation and to wait. Last week she said she didn't know what happened and I would need revision surgery at some point if it didn't resolve itself in a few weeks. The right nipple also looks like it's too far to the right. Is this common or if I should be concerned that the surgeon did something incorrectly? Would I be financially responsible??

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  It does appear that you will need a revision of your breast reduction.  The location of the scar on the right breast should look like that of the left breast.  Continue to follow the directions of your surgeon moving forward though.All the best,Dr. ResultsMiami, FL

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your  pictures.  You have a significant asymmetry at this point.  Whether this is correctable is best determined 3-6 months after your initial procedure.

Robert Drielsma, MBBS, BSc, FRACS · Answer

You appear to have a significant amount of nipple asymmetry at this stage and while you may see some improvement over the coming months as the swelling resolves, its likely you will need revision surgery to achieve symmetry.  You will need to discuss your options with your surgeon.  If you are not satisfied with the plan of action offered, you should seek a second opinion.

J. Garrett Harper, MD · Answer

I have some major concerns about your surgery.  The amount of asymmetry is a big problem.  I am just as concerned as the incision placement on the right breast.  Your transverse incision is no where near your breast fold and is halfway up on your breast.  The measurements of the distance from your nipples to your sternal notch are entirely different and should not be this far off.  This isn't a forum to criticize other surgeons, but I would definitely seek opinions with board certified plastic surgeons and go let them examine you.  Granted, we do not have the luxury of seeing your pre-operative photos which may explain some of the issues you are having, but a lot of technical things are askew here.  Are implants involved?

Steven Wallach, MD · Answer

It would be interesting to see the preop photos, but there is significant asymmetry which will likely not improve with time. Ultimately you probably will need a revision if possibly.

Gary L. Ross, MBChB, FRCS · Answer

You have asymmetry and the nipples are at different heights. It is difficult to fully comment on the result without seeing your preops. The nipple areola complex looks healthy and I would wait some time for the scars to settle and for the right side to drop - which it will. Unfortunately it is likely you will need a revision but I would wait some time until the breasts have softened and you can determine the best location for your new nipples. I would discuss the financial responsibility with your PS but if your PS acknowledges that you need a revision I would stick with them (presuming they feel competent to revise this) as it is always best for your original surgeon to do the revision if possible. I would get a second opinion if your are concerned even if you hear the same thing. Most surgeons would revise this for free but it always depends on the terms and conditions with your surgeon and the hospital.

Nipples in the wrong location after breast reduction - What happened and should I be concerned going forward? (Photo)

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