My areola/nipples sit high 3 months post-op (photos)
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Correction of High Nipple Areola 3 months after lift
It is often difficult to give an accurate analysis of early post surgery results, and the angle in which photos are taken can at times make analyzing symmetry and relative nipple position difficult. I recommend continued follow up with your plastic surgeon to discuss your concerns.
I have seen a variety of revisionary breast cases referred to me, and it certainly is possible to correct nipples that are "riding high". I believe lowering the nipple areola complex in these cases does require correction in a transverse plane. This can be achieve by converting a purely vertical mastopexy to an inverted-T or anchor pattern to better position the nipple areola complex on the breast mound.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.