5 years after breast augmentation, one of my nipples is facing downwards. How is this possible? What can I do about it? (Photo)

Quality breast augmentation outcomes are based on three variables.
When patients are unhappy with the results, the problem can usually be traced back to one or more of these three variables.
The first variable is patient candidacy.
Variables that affect patient candidacy include breast asymmetry, breast position on the chest wall, breast Divergence, breast diameter, and several others.
The second variable is the choice of implants in regards to size shape, and type.
The third variable is the surgeons ability to place the implant in the correct anatomic location.
In your case, the lack of quality outcome is based on all three.
Your natural breast sit wide on your chest wall and have small natural diameter.
Your implant selection is far bigger than your natural breast diameter.
That implant has to go somewhere.
Because your surgeon was smart enough to not violate your IMF inframammory fold. The implant has to go somewhere so it’s riding high.
still, I think your left breast is sitting a bit high, and there is potential for lowering the implant with revision surgery.
In a nutshell, your candidacy for breast augmentation, especially using large implants was not ideal.
The implant selection was not well thought through in regards to your natural breast anatomy.
The placements of implants is not ideal either.
I think you have a potential for a high-quality outcome. This would require modifying the implant pocket and downsizing your implants to something that would be more appropriate and fit your breast pocket.Recogizing your own inherent limitations for this procedure and picking implants accordingly will go a long way twords being happy with your outcome.
I agree that your current look is far from ideal.
In the end, the problem is related to all three variables. Patient candidacy, implant selection, and technical aspect of implant placement,
Addressing and acknowledging, all three variables should be the end goal.
Best,
Mats Hagstrom, MD