Low Nipples Facing South? (photo)

Ever since my breasts started to develop when i was a teenager. i have noticed that my nipples are very low and faces the ground. My breasts are more full above the nipple and not much below the nipple. It is getting worse with age even though i am currently 26 yrs old and never had children. Is there anything that can be done for this? I have a natural d cup so i am not looking for implants. I have attached a picture i found on google of someone else that is very close to how my breasts look

Doctor Answers 16

Facing south

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You have a very normal appearance for large breasts that are full. You could benefit from a breast lift but the tradeoff is scars.

New York Plastic Surgeon

Good Candidate for a Mastopexy

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Thank you for your question. You would be a good candidate for breast lift surgery (mastopexy). I do a Circumvertical incision breast lift most commonly, which means that you would have a vertical scar down from the areola (nipple-areolar complex) to the inframammary fold. You can read more about the different incision types for breast lift / mastopexy and common questions about breast lift surgery on my website in my Guide to Breast Lift Surgery (Mastopexy) at the web reference below. Best of luck to you.

Breast lift as a solution

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In this case of low nipples facing south, something can actually be done to fix this and it’s called breast lifting. Surgical procedures can be done to lift the breasts and shape them appropriately.

Colin Hong, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 40 reviews

Breast lift

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Thank you for the question and photo.  A breast lift can be able to literally lift your nipple to a higher point in your breast and at the same time reduce the areola.  Breast lifts can also reduce the volume of your breasts so it would also be feasible to look into implants as well.  Best to contact a board-certified plastic surgeon and get his or her advice on the matter.  Best of luck. Dr. Michael Omidi.

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 122 reviews

A lift is probably the best solution...

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It’s not unusual for patients with significant breast sag to present for plastic surgical consultation.When these patients are happy with their breast size, breast lift surgery is usually indicated and usually accomplishes their aesthetic goals.Under these circumstances, the use of an implant would be pointless unless more upper breast fullness is desired.
Your clinical history suggests breast sag in the presence of adequate breast volume.For this reason, an implant isn’t indicated.Under these circumstances, bilateral breast lift surgery should adequately treat your problem.
It’s therefore, important to consult a board certified plastic surgeon with experience performing breast lift surgery.This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Breast Lift If Happy With The Size

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   If you are happy with the breast volume or size, then droopy or sagging breasts could be improved with a breast lift.  Kenneth Hughes, MD breast augmentation Los Angeles, CA

Breast Lift Raises

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Looking at your photo, it appears that a breast lift would be the treatment of choice.  The purpose is to raise the nipple so that it is not located at the bottom of your breast.  Rather, the nipple areolar complex is centralized and lifted to a higher position.  So to answer your question, there is something that can be done for your condition, it's a relatively common issue amongst women who are experiencing low nipple location of all ages!!  Good luck. 

Breast lift before childbirth (grade 2 ptosis)

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Thanks for the question Krissy. The breast in the photo you included meets all requirements for a grade 2 ptosis classification.  If your nipple/areola points any more south than the breast in the photo, then that would constitute grade 3 ptosis. 

That said, if properly elevated nipples are all that you desire, then a straight forward, vertical (lollipop) mastopexy (breast lift) is likely all that's needed to achieve a pleasing result.

Do keep in mind though that any type of mastopexy without implants will not only reduce the overall volume/size of your breasts - especially in the upper pole - but in many cases also create a small hollow within the superior portion of the breast that diminishes the appearance of cleavage.

So if your goal is to maintain your current ‘D-cup’ breast size size plus add a little bit of fullness in the upper pole (cleavage), then small, submuscular implants are also needed to achieve a satisfying result. *Click 'web reference' link below to see how adding a small implant helps fill out the upper pole of breasts that are similar to your own*  

Of course, all of this is conjecture since the photo you included features someone else’s breast. So my advice to you at this point is to setup consultations with 2 or 3 board certified plastic surgeons who do a lot of breast work and see what they say.

Breast lift before childbirth?

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Dear Kiss,

The solution to your current breast condition is breast lift surgery, as you have heard.  The issue in my opinion is whether or not you plan on having children.  Aside from the fact that any breast surgery may affect the ability to breast feed, the changes that occur in the post partum (following birth) breast may recreate your current ptotic condition.  If you are planning to have children, it may be in your better interest to defer the breast lift until childbearing is finished.  Good luck!

Nipples Facing South

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You are experiencing what we call breast ptosis or drooping of the breasts. If you only want the breast to be higher and the nipple higher a breast lift is all that you need. If you would like more fullness over the upper pole of the breast a breast augmentation and lift would be in order. Either way to lift the breast you will need incisions on the breast and you have to be ok with scars. Pregnancy will change your breasts so if you would like to wait until after having children you will have the best result. You can do it prior to childbearing as long as you realize you might need a revision down the road.

Richard J. Brown, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 54 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.