I am 2.5 years post op. I did have minor asymmetry prior to my breast aug, which enhanced significantly after my surgery. I've tried to have some time pass to see if it would still bother me and unfortunately it's something that makes me feel insecure every time I see myself or undress, so I'm looking for a solution. Would a crescent lift on the nipple that's sitting lower be a possible option to correct the issue so that both nipples are aligning symmetrically? Thanks.
Answer: Low breast footprint Unfortunately your breast footprint is low and cant be changed with a cresent lift. Among your nipple position is normal; a reverse T skin resection with inframamarian fold elevation may be a suitible option for this situation.
Helpful
Answer: Low breast footprint Unfortunately your breast footprint is low and cant be changed with a cresent lift. Among your nipple position is normal; a reverse T skin resection with inframamarian fold elevation may be a suitible option for this situation.
Helpful
May 12, 2025
Answer: Breast lift Dear iiixixcvii, my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
May 12, 2025
Answer: Breast lift Dear iiixixcvii, my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
May 4, 2025
Answer: Crescent lift? I perform crescent lifts fairly frequently and believe it is a good technique to lift a nipple 1.5 and sometimes 2 cm to create symmetry with the level of the opposite nipple. The tradeoff is a scar around the upper half of the nipple. However I agree with a previous post that the main culprit is the left implant has bottomed out and correcting that with a left inferior capsulorrhaphy will pull the nipple down some. An in person exam with measurements would help determine whether the capsulorrhaphy alone will suffice, or whether a crescent mastopexy should be added. Measurements would also determine whether excising some skin from the lower pole is also needed.
Helpful
May 4, 2025
Answer: Crescent lift? I perform crescent lifts fairly frequently and believe it is a good technique to lift a nipple 1.5 and sometimes 2 cm to create symmetry with the level of the opposite nipple. The tradeoff is a scar around the upper half of the nipple. However I agree with a previous post that the main culprit is the left implant has bottomed out and correcting that with a left inferior capsulorrhaphy will pull the nipple down some. An in person exam with measurements would help determine whether the capsulorrhaphy alone will suffice, or whether a crescent mastopexy should be added. Measurements would also determine whether excising some skin from the lower pole is also needed.
Helpful
April 22, 2025
Answer: Circumareola donut mastopexy A crescent breast lift will not be effective. A circumareola donut mastopexy would be better. Also, this can be done to both nipples to create a better symmetry. The one that is lower can be raised slightly higher or the higher one can be slightly lowered. Best Wishes, Gary Horndeski, M.D.
Helpful
April 22, 2025
Answer: Circumareola donut mastopexy A crescent breast lift will not be effective. A circumareola donut mastopexy would be better. Also, this can be done to both nipples to create a better symmetry. The one that is lower can be raised slightly higher or the higher one can be slightly lowered. Best Wishes, Gary Horndeski, M.D.
Helpful
April 19, 2025
Answer: Nipple asymmetry Hello and thank you for your question. It is difficult to make recommendations without a physical examination and additional photographic views. However, based on the photograph provided it does appear that you have "bottomed out" with an elongated distance from your nipples to your inframammary folds. The left IMF also appears to be slightly lower the the right. In my opinion, you would benefit removal and replacement of both implants with capsular repair along both folds, creating more symmetric pockets. This would also reposition the implants so the nipple areolar complexes would be located over the most projected portion of the implants. Good luck. I hope this helps.
Helpful
April 19, 2025
Answer: Nipple asymmetry Hello and thank you for your question. It is difficult to make recommendations without a physical examination and additional photographic views. However, based on the photograph provided it does appear that you have "bottomed out" with an elongated distance from your nipples to your inframammary folds. The left IMF also appears to be slightly lower the the right. In my opinion, you would benefit removal and replacement of both implants with capsular repair along both folds, creating more symmetric pockets. This would also reposition the implants so the nipple areolar complexes would be located over the most projected portion of the implants. Good luck. I hope this helps.
Helpful