Nipple Placement After Breast Lift? (photo)

   Vertical or full breast lift can produce the result you demonstrate with the taping.  If you are happy with the volume of the breasts, the lift is all you need.

     Nice tape job.  Your expectations are realistic and definitely achievable,

Yes, a vertical breast lift can accomplish the tightening of the lower pole you desire and also elevate the nipple position and inframammary crease the way you want.  Periareolar (Benelli, crescent, donut) techniques do not accomplish much lift, so be sure it is a vertical lift.  An inverted-T causes too much scarring. 

 

You said that you don't want implants and that's fine.  But remember, if the surgeon performs an effective lift, he or she will make your breasts smaller by removing tissue from the lower pole (removing skin alone is notorious for causing persistent bulging of the lower pole and not providing a durable lift).  So you might want to consider some small saline implants if you want to preserve the same breast volume.  By the way, it looks like you have a substantial diastasis of your abdominal muscles that could be fixed simultaneously.  I have attached the link to my website showing results of vertical lifts with and without implants so you can check out the results for yourself.

You performed a lift without surgery! Yes, your results are very realistic and easy to accomplish. Even though you don't want implants, consider a small amount of fat grafting to give your breasts more projection and contour.

Yep, that's what they will look like, plus scars of course.  Usually, in cases like yours, I recommend a small implant as well, but if you do not want an implant, no problem.

This is a great question and you have done a masterful job of trying to show your desired outcome. From what I can tell, your "after" photo is quite reasonable. How the breast attaches to your chest wall is stable and hard to change, but how your breast falls over the fold is not. During a mastopexy (breast lift), your breast volume is "repackaged" with the goal of a firmer, less overhanging gland and with the nipple/areola proportional in size and centrally located on the new mound. There is no reason for a breast implant if the size of your breasts is acceptable to you. A consultation should answer any other questions that you might have.

 

Regards,

Dr. Mosher

Based on your pictures your desires should be very achievable with a full mastopexy or breast lift. Of course, no one specific result can ever be guaranteed and while unlikely, based on your youth and small breast size, complications can occur which may also compromise your result. Make sure you seek out the attention of an experienced board certified plastic surgeon.

Flutterbeat,  

you are looking for a full lift.  Yes it is possible and the price to pay are scars.  These will, however, fade over time.  A complete breast reshaping through what I call vertical sling mastopexy can give you a lift that repositions the breast, does not lead to loss of volume (and in fact can create an appearance of augmentation).

See the link for more pictures of this procedure.

Martin Jugenburg, MD

Toronto Cosmetic Surgery Institute

Thank you for your photos and question. Nipple placement should be at the most projecting part of the breast mound. If it is too high, like you show on the taped up photo, thaen it looks like your breasts are already bottomed out. Your nipple/areolar complex is sitting above your breast. If the nipple is too low, then you look like before surgery except for additional scars. No matter how high the surgeon places the breasts, they will tend to settle where the breast "foot plate" is. In you case, your breasts sit low on the chest wall, and they will end up there after surgery. You would benefit from a short scar breast lift with placement of the nipple/areola complex at the right place for a long lasting result. Remember, that after a lift, the tissues relax and will settle down somewhat. the surgeon needs to take this into consideration. See a board certified plastic surgeon with extensive breast surgery experience. Good luck.

Thanks for your inquiry and excellent demonstration of your goals with tape!  I think your vision is achievable, but it will entail a vertical component, lollipop lift, to get there.  Good luck.