Final nipple position is determined after the breast mound is created
Women who need breast reduction often have the nipples displaced
and the position is irrelevant in determining the final resting position of the
nipple. Frequently the nipple is too low
and medial because the breast tissue protrudes inferiorly and laterally. When performing a breast reduction, the
internal cone produces the mound and the nipple is delivered through the mound
at the anterior projected point of the breast.
Position of the breast mound determines the final nipple position.
Gary Horndeski, M.D.
Positioning the Nipple on the Breast
In most cases the nipple lies on the breast meridian, but not always. That meridian is an oblique line running down the center of the breast. If your nipple does not lie on the meridian, a good surgeon will correct that during the reduction.
When marking the patient for a breast reduction the ultimate nipple location is paramount in our plan. The height of the nipple is best determined by the level of the fold beneath your breast. The medial lateral location depends more on your preop location.Mid clavicular line can be helpful. In many cases we can move it more medial or lateral depending on your anatomy. Be sure to bring this up with your surgeon as the markings are being done.
When preforming a Breast Reduction is the existing nipple the best point of reference when locating the Breast Meridian?
Thank you for your very interesting question. This sounds like a question that a plastic surgeon would pose to another, it is very technical. However, if the nipple/areola complex is off to the side like a lot of breasts I have seen, then yes the mid-clavicular to mid-inframammary fold line is a better point of reference for placement of the new location of the nipple areola complex. Hope that helps.