What can be done to correct off-centered nipple within areola after breast lift? (Photo)

Question

I had a breast lift and tuberous breast correction on December 3rd. My right nipple is too high within the areola and to me looks a bit unnatural because of it. What can be done to correct this or fix this down the road? I ask you to please not respond with a discouraging "it's too early to know your final results". I am having bad anxiety over this and the chance of this "correcting" over time is slim. I need to know if this is something that can be fixed or if I'm stuck with these results.

Vincent N. Zubowicz, MD · Answer

Due to swelling and asymmetric tension the nipple can sometimes be pulled preferentially to one side or the other. As swelling subsides it usually ends up in the desired location.

Larry S. Nichter, MD, MS, FACS · Answer

It is way too soon to understand your final result as many changes occur within the first several months.You will have a better idea after 6 months. And yes, if still off, then correction often possible as an office procedure.

Steven Wallach, MD · Answer

I think that at just a week or two,  it is too early to see the final result. At this point you have swelling and you have to give it more time to heal.

Jason M. Petrungaro, MD, FACS · Answer

I can appreciate your anxiety over this issue, but I think most Plastic Surgeons (including myself) would tell you to be patient and let your incisions and wounds heal.  You are only 2 weeks out from surgery.  I can assure you that it is impossible to know exactly what the nipple and areola will look like at this point.  It takes at least 6 months to get a good idea, and a full year for incisions to assume their final appearance.  Right now try to focus on your overall results.  Are you happy?  Do you look better in your clothes?  Are you getting compliments?  Very few people will see your breasts without clothing.  If you find that after waiting an appropriate amount of time you are still displeased with the appearance of the areola, it might be possible to excise a small ellipse of areola out from the bottom to even out the space above and below the nipple.Stay in regular contact with your Plastic Surgeon.  He or she will guide you through the process.  Best of luck!

Darryl J. Blinski, MD · Answer

Reviewing the posted photo to me the nipple appears close to center of the areola. Maybe in person examination might demonstrate a off centered appearance???

Jourdan Gottlieb, MD · Answer

It is not clear to me on this photo the boundaries of the nipple, but it does look a bit off center. Once healed there will be several options to improve this, either by revision surgery, or tattooing of the flesh colored skin around the upper part of the areola.  A photo showing the entire chest would have been useful.  All the best

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the photo though an in person examination is really needed to see what you are talking about and whether it just needs tincture of timeDr Corbin

What can be done to correct off-centered nipple within areola after breast lift? (Photo)

Answers (7)

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