From a young age, I've dealt with saggy breasts. Approximately fifteen years ago, I had a breast lift, but the surgeon placed my nipples too high, resulting in them popping out of all my bras and bathing suits. As time passed, my breasts began to sag again, yet my nipples remained high, causing the areola skin to stretch and additional scarring. I've decided to undergo another breast lift now. I don't have implants and don't want them. The skin above the nipple has stretched enough over time to allow for another successful lift. I've had a few consultations and do not want my nipples raised further, as they would again be too high. A few surgeons suggested they could perform the lift without raising the nipple. I'm fine with keeping my areola scar since once the breast is lifted, the scars will be less noticeable and they are white. Has anyone heard of or performed a breast lift revision without moving the nipple because it's already high enough? This sounds ideal for my situation, but I have some concerns since only a few surgeons have mentioned this as a possibility. I'm truly grateful for your help.
The situation you've described could be efficiently addressed with an inferior pole plication (a side-to-side scar above the fold) as the simplest way to manage your concerns. More durable outcomes can be achieved by removing the hanging tissue and replacing it with an implant (if you're comfortable with that) and using an inferior based de-epithelialized flap to help protect your implant (aka reduction augmentation). Alternatively, you could attempt to reposition your tissues to have more fullness on top, assuming that your prior procedure didn't compromise safe tissue movement.
The procedure you mentioned is a recognized technique for revising and tightening the lower breast after a previous breast lift. It is also effective in improving the position of the nipple, particularly when it appears lower. It may not be as commonly discussed as other breast lift methods, which could explain why fewer surgeons mention it. It's great that you have had discussions with multiple surgeons to ensure you find one who understands your goals and can meet your expectations.
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