Nipples too low? Before/after photos (Photo)

Question

7 weeks post op, 300cc, dual plane, periareolar inscinsion. Dislike the low nipples & lack of roundness. Will nipples elevate as I drop and fluff? Breasts are soft, not swollen/tight. Can see the outline of my pecs uptop, does it mean implants haven't dropped? My surgeon said he can raise nipples with donut lift when I'm 4 months post op. I worry it will enlarge my areolas. Can a donut lift safely raise my nipples or should I ask for a lollipop lift?

Gary M. Horndeski, MD · Answer

Your nipple-areola complexes are too low.  A donut lift can lift them approximately 2 cm.  Unfortunately, a lollipop lift leaves unattractive vertical scars.  I would suggest you try the donut lift first.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

You are still early in the healing phase and your implants may settle down a little more. However, you were sagging before surgery and no lift was done. You still may need the lift. Since the breasts have now been stretched with the augmentation, the doughnut lift should not enlarge the areolae since no stretching will be done when lifted.

Mats Hagstrom, MD (license on probation) · Answer

You had slight breasted ptosis on your preoperative pictures. This means you’re going to have slight breast ptosis after breast augmentation surgery. Your outcome is fairly consistent with your preoperative pictures. The implants may drop to some degree, but lowering the implants and violating the inframammary fold can be a long-term disastrous consequence.
The implant needs to sit underneath the breast on your chest wall above the inframammary fold. If your nipple position sits low in relationships, and this is going to do that after the augmentation.
It may be possible to lower the implant to some degree depending on where it’s sitting in relationship to an ideal position.
If not, then a lift may be indicated.
Bonelli mastopexy is one option. The procedure can be used for lifting the nipple about 1 cm or half an inch. Anything more than that and the procedure pants to increase the risk of all the secondary side effects and complications that come with it. For individuals who need more of an aggressive lift a lollipop or adding a vertical scar may be more appropriate. 
Seven weeks is very early to start making assessments about the final outcome. I suggest you put your assessments on hold until you’re six months out.
Some concern about your outcome is predictable because you had mild ptosis before the procedure.
A good surgeon should always respect the natural boundary and periphery of the breast, and not be tempted to lower the inframammary fold.
Placing the implant lower, or opening up the inframammary, fold leads to increased risk of having implants “bottom out”. This condition is highly undesirable, difficult to correct, and often leads to multiple revisions and sometimes implant failure.
It looks like your surgeon did a nice job for you. Have faith, give it time and follow up with your provider at the scheduled appropriate intervals.
Best,
Mats Hagstrom, MD

Nipples too low? Before/after photos (Photo)

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Nipples too low? Before/after photos (Photo)

Answers (3)

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