BA done 5 years ago and now breast implants sagging. Can my nipples be centered again without a lift? (photos)

Question

I had a BA done 5 years ago. My nipples were so low since 1 day post op but my doctor told me it was normal since he did high profile & that over time they will drop. They did drop however 5 years later my nipples are still so low and my boobs just look so saggy. I didn’t have saggy boobs before the implants, matter of fact I didn’t really have boobs at all. I want a revision but I am so worried I will need a lift now. I hate the side cleavage. Can my nipples be centered again without a lift

Gary M. Horndeski, MD · Answer

If your implants are under the muscle then you can undergo a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Txjlalva,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You need a lift and have two options for a lift. One, you can have the surgical lift to raise your nipples and center your breasts.  You can also consider minimaly invasive skin tightening with radiofrequency like ThermiTight. the amount of lift obtained cannot be determined, but scarring is very minimal and so is downtime.

David S. Chang, MD · Answer

I am assuming you would rather avoid the scars, but I think that a circumvertical mastopey would be necessary to lift you nipples.  
I would need to see your preop photos to see what your breasts used to look like.  It is possible that the additional weight of the implants has led to some of the sagging.  If you want to reduce the fullness in the side of the breast, you would probably need a narrower / smaller implant

Derek Fletcher, MD · Answer

An in person examination assessing the softness and position of your implants as well as measurements to assess nipple position relative to the suprasternal notch, inframammary fold and breast base will help determine if a breast lift is necessary and worth the additional scaring. However, it may be possible to achieve better nipple positioning if your exam suggests capsular contracture. In this instance, a revision augmentation with capsule management techniques, a new implant pocket and different implants may be able to achieve improvement.

Darryl J. Blinski, MD · Answer

Yes, sorry only ful lift will elevate your N/As to more centered location. Be sure you are OK with potential anchor scars. Expect fees in the $8,000 ranges.

Richard P. Rand, MD, FACS (retired) · Answer

You might post your preop pictures as it is hard to believe that you didn't need a lift from the start but the pictures would tell the truth on that. Yes, you do appear to need a full breast lift to elevate the nipples and center them back up.

BA done 5 years ago and now breast implants sagging. Can my nipples be centered again without a lift? (photos)

Answers (7)

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