Part of Nipple Missing After Augmentation

Thank you for the pictures. You are not missing the nipple, your areola is a little mishapen after augmentation and mastopexy. This is a normal result and is due to tension. Visit with your plastic surgeon and ask for a scar revision. I bet he/she can give you a more rounded areola with a small procedure under local anesthesis. In terms of the " bottoming out," perhaps the capsule can be adjusted/tightened or the breast lift can be improved.

In general, larger implants that weigh more and stretch skin bottom uot more that smaller implants.

Good Luck, Leo Lapuerta Jr MD

Triple Board Certified Plastic SUrgery

I do not think part of your areola is missing. When the areola was moves up to its new location the upper portion of the areola got stretched and lower portion folded over and it can be fixed easily under local anesthesia. As far as the bottoming out, it can also be fixed with a horizontal excision around the inframammary fold to decrease the distance from the areola to the fold. When this distance is long implants tend to bottom out.

Hello,Thank you for your question and photo. Sometimes irregularities do even out as breasts heal and settle. At one year this is not likely to change on it's own. It should be relatively simple for your Plastic Surgeon to repair this and stretch out that lower portion of areola under local anaesthetic.I recommend that you discuss options with them.All the best

The asymmetry you have in your nipple/areola complex can be easily fixed under local anesthesia. The surgeon will remove a small amount of skin in the inferior portion and then stretch the areola to close it. This should correct the problem that you have. It is very hard to achieve perfect symmetry when doing an augmentation/lift even though we use cookie cutters and measure exactly. 

This is not very difficult to fix.  This happens most likely due to the way the areola is sutured during the surgery.  The upper pole stretches out and the lower half does not during the repair.   This does most often "take care of itself"  with time.  However sometimes it does not.  Ask your surgeon to perform this minor procedure to correct this issue under local anesthesia.