Nipples are very low/pointed down after implants. Do I need revision surgery or a breast lift? Can this be fixed? (photo)

Question

I am petite 5’2 100 lbs with 34 B breasts before and had 385 cc Silicone implants under the muscle with Periareolar incisions. My nipples are now pointing downward and very low on my breast. I'm really worried about how low of a position they are at now. My nipples were not low before the implants. They also feel and look too large for my small frame. They seem very abnormal compared to the other patients after implants. Do I need revision surgery or a breast lift? Can this be fixed?

Nelson Castillo, MD · Answer

Thank you for your question and photographs, and I am sorry that your current results have caused you concern.  After placement of implants, the overall appearance of the breasts will change dramatically over the next several months, as the implants drop, and the overlying tissue stretches to accommodate the extra volume.  Early in recovery the combination of tissue swelling and the volume of the implants causes a flattened, wide, and elevated appearance to the implants, while the lower breast appears empty and causes your nipples to point downwards.  As this swelling resolves, and your tissues stretch, you should see gradual improvement.  At six weeks I would anticipate these changes to start taking place shortly. I know waiting is difficult, but judge your results at 4-6 months after surgery as most of your breast changes should have occurred by then.  Hope this helps

Daniel Barrett, MD · Answer

Dear mini556,Dropping of implants is part of the healing process and this occurs after the tissues surrounding the implants slowly relax, allowing the implants to settle into their final position. It can take about four to six months for the implant to drop down to their final position.I understand that you are worried about nipple position. However, you are still in the early phase of the recovery period. Please do allow some time for the healing process to occur. If after six months, you are not satisfied with the appearance of your breast, you can visit your plastic surgeon and discuss your concerns.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Curtis Wong, MD · Answer

as your pre-op photos suggest you should have had a great outcome with nipples pointing forward.  Only your surgeon knows what was done and how you were closed but your photos suggest the closure technique is contributing to your funny look right now.  In the meantime, focus on getting your implants where you want them and with upper poles being level so they look great in a tube top.  If your mounds end up perfect but your nipples do not, a revision will make it better.

Carrie Houssock, MD · Answer

Congratulations on your surgery!  From your photos, it seems you are very early after surgery.  The implants will change position dramatically over the next couple of months as they drop, soften and fill your new pocket.  I would be patient for now and very likely all will end up as you had wished.  Continue your regular follow ups and all instruction provided by your surgeon.

Frederic H. Corbin, MD (license restricted) · Answer

Sorry for your problem but it can be fixed!  So go on some complimentary consultations with experts and compare recommendations after a full examination Dr Corbin

Nipples are very low/pointed down after implants. Do I need revision surgery or a breast lift? Can this be fixed? (photo)

Answers (6)

Answer: Nipple position after breast augmentation

Answer: Nipple position after breast augmentation

Answer: Revision

Answer: Revision

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Everything you need to know about Breast Implants

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Nipples are very low/pointed down after implants. Do I need revision surgery or a breast lift? Can this be fixed? (photo)

Answers (6)

Answer: Nipple position after breast augmentation

Answer: Nipple position after breast augmentation

Answer: Revision

Answer: Revision

Browse related questions

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.