Nipples Too High Post Breast Reduction?

Had a BR 1 year ago. My nipples are ridiculously high and flat. I've seen 3 plastic surgeons in my area and they all agree. The sad news is that i will be left with "bad verticle scars" that will come out of tops instead of my nipple. I'm wondering if there is any other way to lower areolas without giving me scars in every possible direction on my cheast? Also, i can't seem to find any pictures of others having this performed which makes me worry more... any help would be appreciated, i'm only 20

Doctor Answers 9

Nipples too high after a breast reduction

Really need a photograph to understand your problem but in general if the nipples are too high it can mean a bottoming out of the inferior pole.  This can be corrected by shortening this vertical distance.  

Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Nipples Too High Post Breast Reduction?

I agree with the other posts, that without photos, it is difficult to comment.  Sometimes high NAC (nipple areola complex) can be improved by raising the inframammary fold to a higher position and removing skin and/or tissue  from the fold area.  This will make the distance from the NAC to the fold shorter, and often can rectify the problem without an additional vertical scar above the areola.  Good luck!

Amy T. Bandy, DO, FACS
Newport Beach Plastic Surgeon
4.9 out of 5 stars 107 reviews

Breast Reduction Nipple Malposition

Sorry to hear of your plight. Unfortunately, this is a difficult situation to address. Excision of the skin at the fold can pull the nipple down a bit especially if a vertical technique was utilized. It would likely be the first step.  I have also lowered nipple position in patients with Poland's Syndrome (non development of the the breast)  using tissue expansion techniques.  This is a bit cumbersome, but perhaps an option.  Since you are young, nipple position may drop somewhat with time or with potential pregnancy. I would personally not recommend directly lowering of the nipple as scars will be unsightly and irreversible.  Happy to view your photos and give you a more directed opinion. Best of luck with this.

Ronald A. Lohner, MD
Philadelphia Plastic Surgeon
4.7 out of 5 stars 20 reviews

Bad Breast Reduction Result

I am so sorry to hear about your problem. Sending your after pictures would be helpful.  Typically excess breast tissue and skin can be removed down by th crease to shorten the distance between the nipple and the crease.  This will lower the nipples somewhat.  The vertical scars should not come out of the top of the areola.  This possibly can be treated with tattooing.

Send pictures.

Best wishes.


Dr. ES

Breast reduction and nipples too high

If the nipples are truly too high, then a vertical incision above the areola will be the final scar.  If the breast has bottomed out, and the nipples point upward, then sometimes a small crescent can be taken from the fold and the breast will look better.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breast reduction

Revising the reduction and excising a generous portion of tissue at the bottom may help to pull the nipples down. This shortens the vertical scar, and will initially give more fullness at the top, and it will take time for the skin to stretch. Avoid the vertical scar above the nipple.

Good luck.

Gregory Sexton, MD
Columbia Plastic Surgeon
4.9 out of 5 stars 73 reviews

Nipples too high are hard to fix

Generally it is far easier to raise nipples more than to try to lower them when they are too high.  Sometimes a generous skin takeout in the lower breast with a crease scar can pull the nipples down a little and improve this.  I would not suggest having a vertical scar going up from the nipples.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Revision After Breast Reduction (Nipple/Areola Too High)?

Thank you for the question.

I'm sorry to hear about the complication you have experienced;  this can be very stressful especially at the age of 20.

 I would ask that you submit pictures to this forum for more precise advice. I would agree with you that having vertical scars above the areola ( potentially visible in outfits)  is not a good way to go.  Sometimes, removing tissue from the lower poles of the breasts will serve to lower the nipple/areola complexes on the breast mounds.

 Again, please submit pictures for more precise advice.

 Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,498 reviews

High Nipples - Correction

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. An exam is needed to confirm. Consult with a Board Certified Plastic Surgeon experienced in revisional surgery. See below for suggestions.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 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.