450cc, nipple has stretched & moved to the side of breasts after donut mastopexy & implants (Photos)

Question

When I first got my surgery done my nipple size was even and perfect but now I am almost two years post op and my nipple has expanded and is uneve,My left nipple is still numb and my right has a bit of feeling. Could my nipple have stretched from the implant size? (I am underweight and the surgeon did say the implant I choose might be a bit to big 450cc) or could it be the dissolvable stitches he used? Is there a risk that my nipples might restretch after revision with permanent sutures?

John L. Burns Jr., MD · Answer

You have a periareolar mastopexy augmentation.  One problem with this procedure is that the areola is under a lot of tension which causes the areoles to stretch out over time.  My advice would be to convert to a full scar mastopexy and downsize your implants.

Gerald Minniti, MD, FACS · Answer

The ONLY way of getting reasonable areolar size is through conversion to a formal breast lift. Go to another surgeon that has judgment and talent.

Ronald J. Edelson, MD · Answer

This is one of the common problems with a donut lift. It needs to be converted to either a lollipop lift or anchor lift and the implant down sized

Gary M. Horndeski, MD · Answer

Your implants are too big for your body and your breasts are wider than your chest wall.  I recommend smaller implants and a repeat donut mastopexy.  This time I would use a permanent suture so the areola does not enlarge like it did before.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Your large implants have caused the areolae to stretch. Now they could be revised and tightened and will probably not stretch again since the implants are not stretching the breasts. Please do not go larger. If needed, permanent sutures can be used to keep the areolae tightened.

450cc, nipple has stretched & moved to the side of breasts after donut mastopexy & implants (Photos)

Answers (6)

Answer: Smaller implants and repeat donut mastopexy

Answer: Smaller implants and repeat donut mastopexy

Answer: Breasts

Answer: Breasts

Recommended reading

Everything you need to know about Breast Implant Revision

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450cc, nipple has stretched & moved to the side of breasts after donut mastopexy & implants (Photos)

Answers (6)

Answer: Smaller implants and repeat donut mastopexy

Answer: Smaller implants and repeat donut mastopexy

Answer: Breasts

Answer: Breasts

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.