Lifting breast tissue without lifting the nipple?

Question

I got a breast reduction in 2019 and although I am so glad I got one, I have some issues with my results. My nipples are very high while my breast tissue sits lower. Is it possible to move the breast tissue up so my already too high nipples sit in a more natural position on my breasts?

Alan Gonzalez, MD, FACS · Answer

Hello @Rational244623, thank you for your question. It is possible to reposition and improve the shape of the breast with minimal scarring by raising the base slightly and improving the overall proportion. This will create overall harmony. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Gary M. Horndeski, MD · Answer

The common complication with the traditional techniques not elevating the breast tissue and only elevating the nipple. For that reason, an alternative was developed called The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them 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.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

It sounds like your breast tissue has bottomed out which is not unusual after breast reduction. You probably just need the skin under the breast tightened. It will also make the nipples not look too high

Daniel Barrett, MD · Answer

Dear Rational244623,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Yes, the nipples can be kept in position while lower breast tissue is lifted or even removed with an incision under the breast.

Camille Cash, MD · Answer

Though an in person examination is always best, the breast shape that you describe can be improved with a lift technique.  It will tighten the lower pole of the breasts so that the nipple sits in a more natural position and the breast tissue isn't concentrated at the bottom.  See a board certified plastic surgeon near you to learn more.

Jorge Galaz, MD · Answer

Hi, it is possible. You are describing a pseudoptosis and it is treatable with surgery.
The resulting scars would be in an inverted T, similar to the ones you probably already have.
Hope this information helps.
Regards, Dr. Galaz

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
Following a breast reduction, remodeling of skin and soft tissues will occur, on some occasions resulting in recurrent sag. 
If nipple placement was satisfactory, an infra- areolar lift will remove the excess skin and conify breast shape.
If nipple placement was too high, it can be lowered with revision, but there will be additional surgical scarring ABOVE the revised areola.
Revisit your plastic surgeon for evaluation and discussion.
Best wishes...

Lifting breast tissue without lifting the nipple?

Answers (8)

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