How can I fix my nipples when they are pointing in different directions? (Photos)

Question

I got my breast done in 2014, shaped implants by Sientra. My doctor said my inframary was short. So I couldn’t go big. He recommended 295cc. Is there a way I can fix this?

Robert Kearney, MD, FACS · Answer

I would have to see what asymmetry you had before the implants but you can correct the most visual asymmetry by changing implant position. I would lower the right implant. If that does not do it then consider moving the nipple

Ronald J. Edelson, MD · Answer

Nipple asymmetry is difficult to deal with.  Moving one or both nipples involves scars that on your case are not worth while.  The placement of you implants tends to exaggerate the asymmetry.  I think you could get larger implants and have them set lower and more to the side especially on your right breast.  I think the overall look would be greatly improved.

Farbod Esmailian, MD · Answer

It appears from the photos that you can have an improvement from revision surgery.  The one issue that really can not be addressed is the way your breast/nipple areola are positioned on your chest.  You have breasts that are spaced further out as well as your nipples.Revision surgery with lowering of the right breast implant as well as placing implants with appropriate width can help improve your results.I would recommend you see a board certified plastic surgeon to discuss your surgical options.Hope that helps.

Daniel Barrett, MD · Answer

Dear Boobiejv,Breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Curtis Wong, MD · Answer

and you really need to get your implants symmetrical before doing anything else.  There is also a reasonable chance your implant may have rotated so any malpositions must be corrected before addressing nipple position.  Also check your pre-op photos to see what pre-existing asymmetry you may have had then.

Ralph M. Rosato, MD · Answer

Implants that are shaped have a ruff surface to keep them in place. It appears that your right implant has shifted. I think revision surgery with round implants can improve your appearance.

Richard J. Brown, MD · Answer

I just did a case like yours. Very difficult surgery. Especially when you are trying to fix someone else's work. But it can be done. You need to be very realistic with your expectations of what is possible vs what you see in your mind for a result. It looks like you have too much implant towards the cleavage on the right and not enough out to the side. You likely need a wider implant and that will help to centralize the nipple better. But, these cases are so patient specific and literally need an in office exam for the best advice. So find a good board certified plastic surgeon and go see them or as many as it takes.

Jorge Jiménez Toribio, MD · Answer

Hi darling, thank you for your questionIt is normal to see these issues happening if the implant is not placed correctly. If a revision is performed this can be perfectly corrected by replacing the ones that you have with the right size implants.Kind regards,Dr. Jimenez Toribio Plastic and Reconstructive Surgeon.

Ken Dolynchuk, MD · Answer

Thanks for your question and photos. It is not possible to move your nipples. However, replacing the anatomical low profile implants with higher profile implants which are round will improve the flat lateral aspect and move the nipple more medially. The higher right implant would be corrected hopefully at the same time. Hope this helps.

Arian Mowlavi, MD, FACS (license on probation) · Answer

In general, implants need to be centered on the nipples; this is all that can be done; your right breast may have the implant too medial which means it may not be centered on your nipple but an examination is criitical to give you a definitive advice. Also, now that you have had your implants for a while, you may be able to go a little larger.

How can I fix my nipples when they are pointing in different directions? (Photos)

Answers (13)

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