1 day post-op, my nipples extremely low and I'm concerned. I was told this is normal, is this true? (Photos)

you need to give it six months. i am sure you were shown sample photographs of your likely result...

When looking at this photo, it looks as though the breast implants have been placed high on your chest. The other possible explanation is that you have a hematoma which has expanded on the top part of your breast. 

Unfortunately, you have not provided before photographs.  However, it appears that your implants are at one level and your breast tissue is at another level.  It may be possible for the implants to drop and the skin to stretch but if that does not occur you will need a lift.  Best Wishes,Gary Horndeski, M.D.

Immediately after surgery the breasts are quite swollen, and the implants have not settled. The nipples at this point may be located low on the breast . As the swelling resolves and the implants drop, the nipples will become more centered on the breast mound. This process takes several months to be completed, and I usually wait until then before considering if revisions or additional procedures are necessary. Without seeing your preoperative photos , and based only on the photo provided, it is difficult to comment on what your final results will be. In my practice, there are a number of patients who are borderline candidates for mastopexy who elect to have augmentation alone. Most of those have exceptable results, while a few end up having lifts later. Be patient and follow your surgeons instructions for postop care and wait to evaluate your results until all the changes have occurred.

Thank you for your question and photographs, and I am sorry that your current results have caused you concern.  After placement of implants, the overall appearance of the breasts will change dramatically over the next several months, as the implants drop, and the overlying tissue stretches to accommodate the extra volume.  Early in recovery the combination of tissue swelling and the volume of the implants causes a flattened, wide, and elevated appearance to the implants, while the lower breast appears empty.  As this swelling resolves, and your tissues stretch, you should see gradual improvement.  At six weeks I would anticipate these changes to start taking place shortly. I know waiting is difficult, but judge your results at 4-6 months after surgery as most of your breast changes should have occurred by then.  Hope this helps

Dear mnbee28,
I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process at 1 day  post op.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for supplying your photographs. I agree with you that things do not look ideal. Your implants are sitting too high. Having said that, they can be a considerable amount of change over the first few weeks, as long as you have smooth implants in place, rather than textured. Your plastic surgeon is the best person to advise you but pressure on the upper pole (either from a band or from massage) can help displace the implants inferiorly. For what it's worth, I agree that you probably did not need an uplift but I think you have some work to do to get your implants down to where they should be.

Thanks for your question and photos. If you have smooth implants, it can be very helpful to apply an upper elastic band ("bandeau") to help move the implants toward the bottom of your breasts. Currently your implants are too high but there is nothing wrong with the actual location of your nipples. You definitely do not need a breast lift, but the relationship between your implants and your breasts needs to improve with the implants lower on your chest. If you have textured implants, they are less likely to be pushed downward with massage or elastic band. Please discuss your concerns with your plastic surgeon. If you remain concerned you can always seek a second opinion, but it is indeed true that early on the implants my look a bit high and will eventually come down. Best of luck to you. 

The position of the nipples will improve over time.  On the first day post op breast implants never look the same as they do when you are completely healed at 3 to 6 months.  Give your implants time to drop, and the swelling to subside.  

Thank you for your question! I am sorry you are having concerns with your breast augmentation. You are still in the very early stages of the healing process. I recommend trying to be patient as you continue to heal and your breast implants settle. It could take at least 3-6 months for you to see your final results. Continue following up with your board certified plastic surgeon. Best of luck!