Retracted/Inverted Nipple – Patient 108

A mother of 2 in her early 50’s who is bothered by a deflated appearance of her breasts after pregnancy, and is also bothered by inverted nipples. She wanted a full but still natural look and selected a 375 cc size. She is shown before and again, 6 weeks after bilateral partial sub-pectoral breast augmentation with a dual plane placement of 375 cc high profile textured silicone gel implants placed through an inframammary incision. High profile was chosen to restore some of her lost upper breast fullness. The pros and cons of texture were discussed and a textured implant with the least aggressive texture was chosen to decrease the potential lateral shifting of the implants with time. A Keller funnel was used to place her implants along with antibiotic irrigation and nipple shields to decrease her risk of biofilm contamination, subsequent capsular contracture and possible BIA-ALCL A micro-incision release of the inverted nipples was performed at the time of her breast augmentation. It has been just 6 weeks since her surgery and we can expect the breasts to “settle” and appear even more natural over the next 4-5 months.