Breasts dropped after lift 6 months ago - nipples too high? (Photos)

Question

26 year old, lift no implants. Op April 2022. Are my nipples too high? They come out the top of bras and seem positioned too high now my breast have settled.

Wess Cohen, MD · Answer

Thank you for your question. Yes your nipples are too high. The distance from your nipple to your breast fold is too long. Furthermore, your nipple should never be poking out of your bra or swimsuit. The correction is to decrease the distance from the nipple to the fold. Furthermore, your right breast is larger than your left breast. This could be revised to add that revision operation to fix the nipple height. Good luck.

Semih Yildiz, MD, FEBOPRAS · Answer

At 6 months, some settling after a breast lift is still possible, but if the nipple now sits high relative to the breast mound, the issue is often lower-pole stretching or recurrent bottoming-out rather than the nipple actually moving upward. In the photos, the nipples appear relatively high on the breast mound with more breast tissue sitting below them, though an in-person exam is needed to judge this accurately.

Most surgeons would wait until healing and scar maturation are closer to 9-12 months before planning a revision unless there is a major problem. A revision may involve tightening the lower pole, reshaping the breast envelope, and sometimes using internal support; your original surgeon is the best first person to assess what changed and whether revision is worthwhile.

Alan Gonzalez, MD, FACS · Answer

Hello @Emjayne123, thank you for your question. It is possible to reposition and improve the shape of the breast with minimal scarring by raising the base slightly and improving the overall proportion. This will create overall harmony. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Daniel Barrett, MD · Answer

Dear Emjayne123,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Chelsea Snider, MD · Answer

Yes, you have bottoming out of your breasts with high positioned nipples. The distance from the inframammary fold to nipple is too long and this needs to be shortened to correct your breast shape and nipple position. It appears that your nipples are asymmetric as well, which can be fixed at the same time. Your breasts can be beautiful, just a few corrections!

Connie Hiers, MD, FACS · Answer

Actually, your nipples are in a good position, but your breasts and implants have sagged. They can be raised and suppored with an internal bra.

J. Michael Morrissey, MD (in memoriam) · Answer

Thank you for your question and photos. It does appear that the breasts have "bottomed out". This means the implants have descended below the inframammary fold causing the nipple to rotate upward. The distance from the nipple to the inframammary fold has increased. Unfortunately, there is no way short of surgery to fix this problem. This can be corrected by a lower pole mastopexy and a technique to support the lower pole of the breast to keep it from descending again ie: Galaflex or alloderm sling to maintain the lower pole- kinda like a hammock.This is not a simple operation so its very important to seek an experienced, board certified Plastic Surgeon to help you through this.Best wishes,Dr. Morrissey

Jeffrey E. DeWeese, MD, FACS - Account Suspended · Answer

Unfortunately you have experienced first hand the phenomenon of "bottoming out" If the surgeon makes the breasts look perfect on the operating table, then skin below the nipples stretches out making the nipples upturned. The only way to correct this without making scars above the nipples is to do another lift to push the breast tissue back up behind the nipples. Synthetic absorbable or biodegradable mesh or the patient's own dermis in the form of an "internal bra" can prevent or delay the re-bottoming out process.

Breasts dropped after lift 6 months ago - nipples too high? (Photos)

Answers (8)

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