Nipples low after breast augmentation. What would I need done for my nipples to be centered? (Photo)

Question

I had a breast augmentation done back in 2020 and they have been sitting high but nipples low ever since. I got 445/485 moderate plus profile. I did get pregnant and breastfeed but they looked wrong even before that. The side profile doesn't have that nice slope. I think the doctor didn't make the pocket big enough. What would I need done for my nipples to be centered? Can I keep the same implants? How much do you charge for this?

Daniel Barrett, MD · Answer

Dear samanthaaa.le,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gianfranco Frojo, MD · Answer

I recommend an inverted T (anchor type pattern) bilateral breast lift. This will create harmony between the breast tissue and the implant in place. I do not think the implants need to be touched.

Gary M. Horndeski, MD · Answer

At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Gerald Minniti, MD, FACS · Answer

Regardless how you looked before pregnancy, and I believe you that the nipple areolar complexes were low, the issue isn't the pockets. The issue is breast ptosis, or sagging. You need a breast lift, something you probably don't want to hear, and will likely look for other 'opinions'. Trust me. And no, a circumareolar lift would be insufficient; you'll need a true breast lift.

Dana Goldberg, MD · Answer

Based on your photos, you likely have a right under breast fold, which makes it impossible to lower the implant enough to raise the nipple position without creating a “double bubble” deformity.

You need a breast lift. This is even more likely if you had a pregnancy after surgery. You ca. keep the same implants. Sometimes, a small lift around the areola can be done under local anesthesia. But depending on the density of your tissue, a full lift might be needed to give you the look you want. Luckily, the recovery is usually faster and easier than with implants.

Connie Hiers, MD, FACS · Answer

You need a lift to lift your nipples. The implants are in the normal position. You might have been a little low before pregnancy, but became more noticeable afterwards.  Please discuss this with your surgeon.

Mats Hagstrom, MD (license on probation) · Answer

If your nipple sits low, then you need a breast lift. Aka mastopexy 
Follow up with your provider or have a few in person second opinion consultations
Best,
Mats Hagstrom MD

Nipples low after breast augmentation. What would I need done for my nipples to be centered? (Photo)

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