Does the nipple get removed completely during a lift?

Hello and thank you for your question. This depends on the technique used but I generally prefer to keep the nipple attached by a stalk (or pedicle) as this maintains a better sensation and blood supply. Very occasionally I completely remove the nipple and areolar and replace as a graft. You should see a Plastic Surgeon to discuss this further.

Hi in2minds,

Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just breast augmentation depending on the size of the implant the patient wants. I often use an implant when I perform a breast lift because it provides more upper breast fullness after the lift.

Breast lift surgery aims to re-volumize the breast with either and natural implant or fat grafting followed by nipple repositioning using the lift. I prefer to use a vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern for more significant lifts. This reduces more noticeable scarring than usual. Mastopexy that requires less than 2cm of lift only needs a donut incision. Every incision is also closed in five precise layers without using reactive sutures that can cause inflammation and eventual scarring.

If you are considering a breast lift, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery

Thank you for your question. There has been major improvements in breast lifting technology in the past 15yrs. Not only has the vertical component been successfully eliminated without compromising shape nor lift, but preservation of nipple sensation and the ability to breast feed have also been improved. The Bellesoma Method is a breast lifting and reduction technique that never detaches the NAC (nipple areola complex) from the blood supply nor lactiferous ducts which allow women to breast feed. Sensation is maintained regardless of breast size or reduction. TBM is a full lift that has been peer reviewed and performed for many years. You are welcome to visit my gallery on this site to view many examples. The woman below underwent TBM without breast implants nor the ugly vertical scar. I hope this helps you make a more informed decision. Best wishes and kind regards,