Nipples too low after breast augmentation? (Photo)

It appears your implant position is slightly high and wide. If your implant was placed under the muscle, maybe the muscle has not stretched enough and is not allowing the implant to descend. There’s nothing wrong with placing the implant behind the muscle, it just may need to be released a bit more.

Best of luck,
Dr. Baccaro
(Instagram: @baccaroplastics)

Dear PalinaNicole,
it is unlikely that your breasts will change more since you had your surgery 11 months ago. Based on your photos, it looks like there is some minor asymmetry. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thanks for your question! In order to give you the best answer, we would need to see your before photos. It might be worth getting another opinion in person. Good luck!

Your photos suggest that your implants are still sitting high or are too large for your frame. An in person exam to measure where your nipple position is relative your implants.

Your implants still sit very high. This is the typical look earlier on when the implants have not “dropped”. With time the lower pole (skin below the nipples stretch more than the top and allow the implant to “drop” and nipple to go up. Yours either have not dropped fully or there is capsular contracture round the implants which does not allow to them to move/drop.

If you look at your before photo, you will probably see that your nipples are not in the same place. Now that your breasts are larger, you are noticing this more. If this bothers you, then have your surgeon raise the lower nipple. Otherwise, you are fine.

A breast augmentation adds volume to the breasts, but without a lift the nipple position will remain in approximately the same position. From the photos it does appear the implants are sitting high, but that could be attributed to the size of the implant. Since you are well over a year since your surgery it is not likely they will change much without intervention.

Thanks for your question. This is one of those times where I want to be able to give a black and white answer but it is more of a shades of gray type problem. It really depends on how you feel about it and if it would be worth it to you to try to change things. If you are happy, then the answer is they are exactly where they should be. If you are not happy, the options to move the nipples include making incisions around them to try to pull them towards the center of the breast. This can often be done under local anesthesia in the clinic as long as you are ok with sitting for the numbing injections. The trade off is a scar around at least part of your areola that can change the shape of your nipple (sometimes ends up more oval than round).

Your nipples are where they’re supposed to be. The question is more related to the implant. Your implants are much larger than your natural breast diameter. When that happens the circumference or the diameter of the breast needs to be enlarged. It’s very important that surgeons do not violate or open up the inframammary fold (IMF) or the lowest aspect where your breast begins on the chest wall. If the from memory fold, it is violated patient’s art risk for having implants bottom out overtime and this is a bad complication that is difficult to fix. Since the implant can go lower, the implant has to go somewhere. You have more implant in the upper half of the breast, because of the shape of the pocket and the size of the implant. It’s not that your nipple sits too low, but rather your implant is showing more volume above the nipple rather then below. Usually implants will drop with time as tissues, stretch, and gravity pushes to implant down.
I think the choice of implant is excessively large, and this is what happens when patients or providers choose implants that are significantly larger than the base diameter of the breast itself. The alternative, which is to have the implant sit too low is a far worse condition, and much much more difficult to correct. The implant can be lowered to some degree and still be safe. Alternatively, you could also consider downsizing the implant a bit.
Using excessively large implants, create more unnatural appearances, increases the chance of complications, increases revision rates and secondary problems.
Your outcome would’ve been perfect with a smaller implant.
Follow up with your provider or schedule in person second opinion consultations with other plastic surgeons in your community. For second opinion consultations always come prepared to bring with you a complete set of before and after pictures and a copy of your operative report. These are all available from your current providers office.
it looks like your surgeon did a pretty good job. I don’t know who selected the implant size, but that is part of the problem.
Best,
Mats Hagstrom, MD

Greetings,
The most important factor to be evaluated is the shape and position of your breasts prior to surgery. Were your nipple positions low pre-operatively? Your before pictures would be helpful.
There is no substitute for an examination/consultation with your plastic surgeon to discuss your specific concerns. At that time, surgical options and risks may be discussed. Also, a second opinion may help you decide what may help you meet your expectations.
Best Regards,