What is the average distance nipple to crease and how do you measure it?

What is the ideal distance nipple to crease for a C-D cup? Specifically 371cc. Do you measure it from nipple to crease or bottom areola to crease ? Should the distance to the upper pole be equal or a bit less?

Doctor Answers 7

Placing scars in breast crease and nipple to crease distance

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You have touched upon a very relevant subject. When you have a breast augmentation procedure with a scar under the breast it is very important for your surgeon to make the incision such that it will come to lie in your 'new' breast crease following the procedure (the position of your breast crease may or may not change, depending on the implant used and lack of volume in your breast before the procedure). The position of your breast crease and the distance between the nipple and crease (nipple to crease, not areola to crease) will vary depending on the implant that has been selected. The nipple should ideally be positioned at the point of maximum projection of your breast.Ideally, 45% of your breast tissue should be above your nipple and 55% should be below the nipple. The nipple to crease distance is dependant on the lower ventricular curvature (LVC) of the implant as well as the amount of breast tissue in the lower pole of your breast that will cover your implant. The LVC can vary widely from 6.8 cm (for a 140cc implant) to 12.1 cm (for a 775cc implant). The LVC also varies with the profile of the implant and it will be more for an extra projection implant compared to a low projection implant of the same volume. There is a very scientific method for calculating all this and it is very important that you consult surgeons who know what they are doing and not deciding arbitrarily as to where they will make a cut and stuff an implant in!

What is the average distance nipple to crease and how do you measure it?

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I'm afraid whoever told you there is a number like that was misleading you. A tiny A cup can have a good look with a very short distance and a full D cup can have a very good look with a much longer distance. Artistry comes from the eye and experience, not a ruler. For a nice youthful and natural look, the nipple should be at or slightly below (never above) the equator of the implant. And also at or above the fold under the breast.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 29 reviews

Fold nipple distances vary

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by the size of the breast.  This is good for seeing if you may be having bottoming out.  In general, your nipple should be pointing straight forward or slightly upwards.  If your lower pole is too long, there are simple ways of shortening it if you're accepting of a scar across the bottom of your mound.  So there really isn't any number I can give you.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Nipple crease distance

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I measure the distance from the lower edge of the areola to the inframmary crease.  It should be five or six centimeters or about two and a half inches.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 29 reviews

Crease distance

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There is no ideal distance but one tries to keep the areola to crease distance no greater then the radius of the implant used

Dr. Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 65 reviews

Ideal measured breast distances

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There is no "ideal" measurement, but there is an ideal range.  The best measurement is the one that looks good on you.  Nice aesthetics have in common certain mathematical relationships, but there are many individual inconsistencies.  Cup size and "371cc" implant don't correlate either, because the volume and dimensions of your native breast tissue are additive to the Natrelle 15-371 in your body to determine cup size.  Cup size also depends to some degree on band size, as established by the elegant studies of the late Dr. Edward Pechter.

Ideal distance nipple to crease varies with breast shape:  some women have round breasts, others have elliptical bases.  Both can look good, depending on configuration of ribs and other chest structures.

Steve Laverson, MD
San Diego Plastic Surgeon
4.9 out of 5 stars 50 reviews

Importance of nipple of crease distance

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Hello and thank you for your question. Nipple to crease is measured from the nipple to the crease, but there are measurements done "on stretch" and with no tension. Usually this measurement tells us how big of an implant we can place without having to lower the fold and still be able to center the nipple over the most projecting part of the implant. Make sure to seek the expertise of someone board certified in Plastic Surgery.


Dr. Sean Kelishadi
@sskplasticsurgery on Instagram

Sean Kelishadi, MD
Newport Beach Plastic Surgeon
4.9 out of 5 stars 32 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.