Why haven’t my nipples raised during (drop and fluff) and is there a way to correct nipple placement? (Photos)

You probably have large implants for your space and there is not much room to let them drop. Ultrasound treatments may possibly be helpful, or lower or widen the pocket some or choose a smaller implant.

Your breast implants are at one level and your breast tissue is at another level. At this time, it is highly unlikely that your implants will drop anymore and gravity will prevent your nipple-areola complex for raising higher. At this time, I recommend a donut mastopexy to re-position your nipple-areola complex higher on the chest wall. Your other alternative would be lowering the inframammary fold. However, lowering the inframammary fold will allow the implant to descend and may result in bottoming out or double bubble deformity.

Best Wishes,

Gary Horndeski, M.D.

- It appears that your breast implants never settled into the correct position after you augmentation. They remain too high on your chest wall.
-Your nipples/areolae were in perfect position prior to your breast augmentation. They were not low by any means.
-Typically, breast implants settle into the correct position after a few months. It takes time/gravity for the implants to stretch out the skin of the lower portion of the breast.
-There are a couple possibilities in your case for the cause of your implants remaining too high.
-The first would be that the lower pole (bottom 1/2) of the breast pocket was not made large enough to accommodate your implants at the time of augmentation.
-The second explanation is that you had premature pocket closure during the healing process. This means that the capsule (normal scar tissue) around the implant formed more quickly than the implants settled into position, thereby preventing the implants from dropping into the appropriate position.
-I have had this happen to a couple patients over the years. BUT, it is usually on just one side. The treatment is to open the incision up and cut through the scar tissue in the lower pole of the breast, thereby allowing the implant to drop into the correct position.
- I recommend meeting with a board certified plastic surgeon (ASPS Member) to find out more. He/she will likely recommend a revisional procedure in which the implant pocket is reopened and the capsules are removed inferiorly to allow the implants to settle into place.
-Thanks for sharing, and best of luck to you!