Stage 3 inverted nipples and tubular breasts, what are my options to get lifted perky ones? (photos)

you are a good candidate for the lollipop type lift and a small implant.  That would give you nice shaped breasts.  As far as inverted nipples, those may also improve from the pressure of an implant behind them.  I would not go down to Mexico for the simple reason that you may need a touch up or revision and going back to Mexico would be quite inconvenient and add to the cost.

Hi Delabube,Thanks for your photos and questions. The results will be based on what you realistically expect. You may be able to avoid a lift but the nipple areola complex will stretch and likely not correct the nipples. Based on the photos, your nipples dont seem totally inverted but without an exam it is hard to say how to fix the issue. A round implant over or under the muscle with more breast tissue coverage than muscle (Dual plane II/III) with a donut lift (around the nipple) lift would look well and give what I think is what you want to see. As far as surgeons, Tijuana will be a lot less but you carry a higher risk. There are good surgeons everywhere but remember you only get one lift and is the cost the most important aspect of your future surgery. Only you can answer this. Good Luck!All the best,Carlos Mata MD, MBA, FACSBoard Certified Plastic Surgeon

I appreciate your question.

Constricted or tubular breasts tend to be too narrow with a breast crease that is too high. Tight ring-like bands of tissue around the areolae and nipples may create the appearance of protruding or puffy areolae. A higher than normal breast crease may make your nipples appear to be too low or down pointing. Constricted breast features can be very mild or severe. In fact, mild variations are relatively common. To summarize, the features can include:

Inframammary fold (breast crease) too highInframammary fold misshapenBreasts too narrow (disproportionately narrow base width)Insufficient breast skinConstricted or tubular shape, resulting from tight bands of tissue within breastsProtruding or bulging appearance of areolae (pigmented area around nipples)Improvement is possible and generally includes a breast augmentation, sometimes combined with a lift (mastopexy). The lift is usually limited to an incision around the areolae. During the procedure, I release the tight, constricting bands from the inside, allowing the skin to expand properly. I also lower the inframammary fold to a more ideal position and improve it’s shape. Breast implants help create the right amount of volume and improve breast contours, resulting in a more rounded or tear drop shape. In some cases I have been able to fix this with just fat grafting in milder cases.

The best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

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