Surgeon wants to cut into the breast crease and stretch the skin to make nipples even - will this cause stretch marks? (photos)

Question

My surgeon has agreed revision, it was agreed the nipple would be lowered to match the other side however he now wants to recut into incision of breast crease and stretch the skin over to move the nipple into a more central position. My questions are will this not likely cause more stretch marks? And also with regards the height difference how will this be lowered to match the lower nipple? Is not best moving the nipple itself instead? If anyone could provide me with advice I would appreciate it

Randal Haworth, MD, FACS · Answer

It is difficult to provide a specific answer to your questions without a more detailed understanding of your individual circumstances, such as the type of surgery you had previously and the reasons for the revision. However, I can offer some general information that may be helpful.

Firstly, any surgical procedure that involves cutting and stretching the skin can potentially result in stretch marks. However, the likelihood of this happening depends on a variety of factors, including your skin type, age, and genetics, as well as the skill of your surgeon and the techniques used during the procedure. Your surgeon should be able to provide you with information on the risks and potential complications of the procedure, as well as any steps that can be taken to minimize the risk of stretch marks.

As for the height difference between your nipples, there are a variety of techniques that can be used to lower the higher nipple to match the lower one. Moving the nipple itself may be one option, but depending on the specifics of your case, your surgeon may feel that stretching the skin and moving the nipple into a more central position is a more appropriate approach. Your surgeon should be able to explain their reasoning for the chosen approach and how they plan to address the height difference.

It's important to have a detailed discussion with your surgeon about your concerns and questions before proceeding with any surgery. Your surgeon should be able to provide you with clear and detailed information about the procedure, including the risks and potential benefits, to help you make an informed decision about whether to proceed with the revision.

I Hope this helps,
best of luck !

Benjamin Baker, BMBS MBA FRCS(Plast) · Answer

Hi, thanks for your question. What I think your surgeon is intending to do is to take a wedge of skin out of the lower pole of your breast with the higher nipple to reduce the nipple to fold distance and so lower the nipple on that side. This is unlikely to cause stretch marks. This may improve things for you, but it does tend to be easier and more reliable to match the height of the higher nipple by raising the nipple on the other side. Your surgeon will know what technique was originally used and so will be in the best position to provide you with advice on this. I would recommend making sure that you are consulting a plastic surgeon with a specialist interest in aesthetic breast surgery.

Zoran Potparic, MD · Answer

Without creating visible scar above nipple that needs lowering, which you will not like, the only other option is to lift lower nipple in a symmetric position. This will need intervention on both breast by means of setting new inframammary folds as well as skin excision in the lower pole. You should consider second opinion consultation with a board certified plastic surgeon with good reputation in breast surgery. Good luck.

Connie Hiers, MD, FACS · Answer

We typically do not lower nipples since that does not work well without scarring above the nipples. However, removing the excess tissue at the base of the breast and tucking in that tissue often does reposition the nipples well. Stretch marks are rarely as issue with lifts and tucks, but can be seen with augmentations in young ladies with little breast tissue and tight skin.

Hilton Becker, MD · Answer

Based on your photographs ,I would recommend elevationof  the R breast and nipple and centralizing  the left nipple

Douglas Taranow, DO, FACOS · Answer

There are always more than one way to perform surgical procedures.  No one is more correct or acceptable than another and it depends on haw your surgeon was trained and how comfortable they are with a certain procedure.  Removing lower breast skin to elevate the nipple/areola does work, but it may increase the upper pole (top of the breast) fullness.  Looking at your single photo, it appears that the affected side is already higher, if so, this is not the course of action I would take.  Performing a periareolar (around the nipple) mastopexy would raise the lower nipple/areoal and make the breast a bit more round, tighter and higher.  
Neither type of mastopexy causes stretch marks.
Best wishes,
Dr. Taranow

Surgeon wants to cut into the breast crease and stretch the skin to make nipples even - will this cause stretch marks? (photos)

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