Why are my nipples pointing down and not centered post breast augmentation? (Photos)

Dear Jaqui52Thank you for your questions and photos !  Your implant position is high compared to the center of your breast and inframammary fold.If the implants are under the muscle - it may need a little more release.With Warm RegardsTrevor M Born MD

At size 32, each 100 cc of implant corresponds to 1 cup size change.  325 cc implants are large and took you up 3 cup sizes.  At this time, you alternatives are smaller implants or release the inferior pole of the breast.  Releasing the inferior pole of the breast can result in bottoming out and the breast will descend.  I recommend a modified Benelli lift with smaller implants.  Using a circumareola approach, the nipple is raised higher on the chest wall, the breast tissue is reshaped, elevated higher and more medial to increase your cleavage.  Through the same incision, smaller implants can be placed.Best Wishes,Gary Horndeski, M.D.

Skin stretches.  Ask any woman who has ever been pregnant, and the force needed to stretch the skin between the nipple and inframammary fold comes from time, gravity, a bando, and no bra no bra no bra.Although it appears that your surgery was done in an excellent fashion, you apparently did not wear a bando which creates downward vectors of force, and you did wear a bra sometime early after the surgery.  The combination of these two force producing garments kept the tissue between your nipple and inframammary fold from stretching out.At this point, your body has formed a capsule around the implant which tends to hold the implant in place.  All this being said, if you were my patient at this juncture, I would ask you to wear a bando 24/7 and not to wear a bra but nipple covers (for modesty).  The pressure from the bando and the lack of upward forces from a bra is your best non-surgical maneuver at this point in my opinion.