i had an uplift with implants several years ago. my areola are very large and quite high up on breast. is there anyway this can now be lowered ? i have to be careful what tops i wear as it shows above the neckline on them.
Answer: High nipple position can often be fixed
Nipple positions that end up too high after a breast augmentation with a lift usually occur for one of two reasons:
1) The implants placed were either placed too low to begin with, or they were too heavy for the breast tissue. In this situation, you can get a malposition of the implant in relation to nipple itself. This can be repaired by placing the repositioning the implant. Although a technically difficult opration, it is possible.
2) The new nipple position was set too high during your breast lift operation. This problem is also fixable in some patients, depending on the degree of nipple malposition. Sometimes the implant will need to be downsized to help minimize the disproportion. Other patient may need to have more skin removed below the nipple-areola (i.e. re-do part of the lift). It really depends on the breast shape and degree of skin laxity.
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Answer: High nipple position can often be fixed
Nipple positions that end up too high after a breast augmentation with a lift usually occur for one of two reasons:
1) The implants placed were either placed too low to begin with, or they were too heavy for the breast tissue. In this situation, you can get a malposition of the implant in relation to nipple itself. This can be repaired by placing the repositioning the implant. Although a technically difficult opration, it is possible.
2) The new nipple position was set too high during your breast lift operation. This problem is also fixable in some patients, depending on the degree of nipple malposition. Sometimes the implant will need to be downsized to help minimize the disproportion. Other patient may need to have more skin removed below the nipple-areola (i.e. re-do part of the lift). It really depends on the breast shape and degree of skin laxity.
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Answer: Nipple Areola Mal-Position The treatment of superiorly mal-positioned nipple areola complexes following combination breast lift breast augmentation surgery is entirely dependent upon the cause of the problem. Unfortunately, in this case, it's virtually impossible to make a specific recommendation without pictures or a physical examination.In some cases, the nipple areola complexes may have been set at a level that's too high. In other cases, the breast implants may have drifted downward causing elevation of the nipple areola.Under these circumstances, the treatment is specific to the cause of the problem. In some cases, elevating the inframammary fold may be necessary and this may also require shortening of the distance from the areola to the inframammary fold. In other cases, decreasing the size of the areolas and breast implants may be necessary as well.Although, this can be an extremely difficult problem to fix, these maneuvers have the potential to improve nipple areola complex position. If you're concerned about your nipple areola mal-position, consultation with your surgeon is appropriate. Your surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
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Answer: Nipple Areola Mal-Position The treatment of superiorly mal-positioned nipple areola complexes following combination breast lift breast augmentation surgery is entirely dependent upon the cause of the problem. Unfortunately, in this case, it's virtually impossible to make a specific recommendation without pictures or a physical examination.In some cases, the nipple areola complexes may have been set at a level that's too high. In other cases, the breast implants may have drifted downward causing elevation of the nipple areola.Under these circumstances, the treatment is specific to the cause of the problem. In some cases, elevating the inframammary fold may be necessary and this may also require shortening of the distance from the areola to the inframammary fold. In other cases, decreasing the size of the areolas and breast implants may be necessary as well.Although, this can be an extremely difficult problem to fix, these maneuvers have the potential to improve nipple areola complex position. If you're concerned about your nipple areola mal-position, consultation with your surgeon is appropriate. Your surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
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December 14, 2014
Answer: Lowering Nipple and Areola There is usually a way to lower your nipples and areolae to a more favorable position. An examination is critical for the best opinion. Most likely you could benefit from raising your inframammary crease and converting the lollipop lift to a T to shorten the vertical scar creating more upper pole fullness. You may be a candidate for a graft. An exam is needed to confirm. Consult with a Board Certified Plastic Surgeon experienced in revisional surgery. See below for suggestions.
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December 14, 2014
Answer: Lowering Nipple and Areola There is usually a way to lower your nipples and areolae to a more favorable position. An examination is critical for the best opinion. Most likely you could benefit from raising your inframammary crease and converting the lollipop lift to a T to shorten the vertical scar creating more upper pole fullness. You may be a candidate for a graft. An exam is needed to confirm. Consult with a Board Certified Plastic Surgeon experienced in revisional surgery. See below for suggestions.
Helpful
November 29, 2010
Answer: Two main reasons why the nipples can end up too high
There are two likely reasons why your nipples and areolar are now too high. First, they may have been placed too high during your initial procedure. Second, your implants may have "bottomed out" causing your nipples to rise. Frequently, when implants become malpositioned, the nipple and areola tend to become displaced in the opposite direction. The solution to your problem obviously depends on the cause. If the nipples were placed to high initially and your implants are otherwise well positioned, there are not many options available to fix the issue. Some authors have recommended expanding the superior poll, but this may be costly and involve multiple operations. If the problem is the position of the implant, repositioning the implant may correct the issue. There are a variety of techniques available to reposition implants. The best judge as to how your problem can be fixed will likely be a local board certified plastic surgeon. Lastly, the areola can stretch out after a augmentation mastopexy if a buried permanent suture is not used as a preventative measure.
Helpful
November 29, 2010
Answer: Two main reasons why the nipples can end up too high
There are two likely reasons why your nipples and areolar are now too high. First, they may have been placed too high during your initial procedure. Second, your implants may have "bottomed out" causing your nipples to rise. Frequently, when implants become malpositioned, the nipple and areola tend to become displaced in the opposite direction. The solution to your problem obviously depends on the cause. If the nipples were placed to high initially and your implants are otherwise well positioned, there are not many options available to fix the issue. Some authors have recommended expanding the superior poll, but this may be costly and involve multiple operations. If the problem is the position of the implant, repositioning the implant may correct the issue. There are a variety of techniques available to reposition implants. The best judge as to how your problem can be fixed will likely be a local board certified plastic surgeon. Lastly, the areola can stretch out after a augmentation mastopexy if a buried permanent suture is not used as a preventative measure.
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August 26, 2014
Answer: NippleAreola to High After Breast Lift with Augmentation Generally, when the nipple areolar position is too high after a mastopexy augmentation, the cause is inferior displacement or "bottoming-out" of the inferior breast fold. This can happen with any breast operation, and can be fixed, but can recur. The most common complaint is that patients feel that their nipple areola areas pop out or can be seen from the top of a bra or bathing suit. Rarely is the cause from inaccurate measurements for the new nipple position prior to the breast lift. Treatment consists of elevating the inframammary fold to a higher, more natural position. Either permanent or semi permanent sutures are used, and most plastic surgeons requiresome type of rigid bra support such as an underwire bra to help the area heal in the correct position. I like my patients to wear this support 24 hours a day for approximately 2 months after surgery.
Helpful
August 26, 2014
Answer: NippleAreola to High After Breast Lift with Augmentation Generally, when the nipple areolar position is too high after a mastopexy augmentation, the cause is inferior displacement or "bottoming-out" of the inferior breast fold. This can happen with any breast operation, and can be fixed, but can recur. The most common complaint is that patients feel that their nipple areola areas pop out or can be seen from the top of a bra or bathing suit. Rarely is the cause from inaccurate measurements for the new nipple position prior to the breast lift. Treatment consists of elevating the inframammary fold to a higher, more natural position. Either permanent or semi permanent sutures are used, and most plastic surgeons requiresome type of rigid bra support such as an underwire bra to help the area heal in the correct position. I like my patients to wear this support 24 hours a day for approximately 2 months after surgery.
Helpful
September 5, 2010
Answer: Nipple position too high after augmentation mastopexy
There may be one of two possible problems: One possibility is that your implants have descended or moved downward on your chest relative to the breast. If this is the case, treatment consists of elevating your inframammary fold (i.e. the crease underneath the breast) with sutures or possibly additional skin resection with a revision mastopexy.
The other possibility is that your nipple-areola complex is truly too high on your breast. The second scenario would also require revision breast surgery, possibly with breast tissue expanders.
Best wishes,
Jaime Perez M.D.
Helpful
September 5, 2010
Answer: Nipple position too high after augmentation mastopexy
There may be one of two possible problems: One possibility is that your implants have descended or moved downward on your chest relative to the breast. If this is the case, treatment consists of elevating your inframammary fold (i.e. the crease underneath the breast) with sutures or possibly additional skin resection with a revision mastopexy.
The other possibility is that your nipple-areola complex is truly too high on your breast. The second scenario would also require revision breast surgery, possibly with breast tissue expanders.
Best wishes,
Jaime Perez M.D.
Helpful