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December 3, 2025

Nipple Repositioning Surgery + Breast Lift: The Perfect Pairing?

The nipple repositioning surgery is a cosmetic procedure that is often done alongside procedures such as breast lifts and breast reductions. The main purpose of this surgery is to help with nipple asymmetry and bring harmony to their appearance. Factors such as aging or drastic weight loss can lead to saggy skin, which can make the nipples look enlarged or lower. The nipple repositioning surgery can help reposition the nipples and improve their size. Stick with us to know more about the nipple repositioning surgery.

Infographic: Nipple Repositioning and Mastopexy
Nipple Repositioning and Mastopexy

⚕️ Why Nipple Repositioning & Breast Lift Work Together 

A breast lift, also referred to as mastopexy, is a procedure aimed at lifting saggy breasts and reshaping them to look symmetrical. A breast lift is often done with a nipple adjustment procedure called the nipple repositioning surgery to enhance the complete aesthetics of the breasts. Here are the common issues nipple repositioning surgery helps with:

  • Weight fluctuation and aging, as well as pregnancy, can have a negative effect on the breasts and cause breast ptosis. The resulting sagging can cause the nipples to sag lower. 
  • When paired with a mastopexy to tighten breast tissue, the nipple repositioning surgery can even help with stretched areolas and assist in areola reduction. 
  • Once the surgery brings the nipples to their right position, it can make the overall breasts look proportionate. 
  • These surgeries even out the breasts, essentially undoing the sagging and other changes that occur in the appearance of the breasts after breastfeeding. 
Breast Lifts and Implants (280cc) after 5 days
Breast Lifts and Implants (280cc) after 5 days

🌟 How Combining These Two Procedures Can Benefit

For starters, combining these two procedures makes the best combo for sagging breasts, as it addresses multiple areas of concern to give a comprehensive transformation of the breast. The results are more harmonious. To add to this, since both procedures are done simultaneously, they also have a single recovery period. 

In addition, doing a combination procedure is a lot more cost-effective than doing these surgeries separately. Finally, it allows the surgeon to design a customized surgical plan that suits the needs and desired aesthetics of the patient. 

Breast reduction detailing and nipple lifting (before and after by the Estherian Clinic)
Breast reduction detailing and nipple lifting (before and after by the Estherian Clinic)

✨ The Combined Procedure: What to Expect 

The combined procedure of a breast lift as well as nipple repositioning surgery offers the most natural-looking results. In order to determine the perfect position for the nipples, the surgeon evaluates the breasts’ sagging, shape, and size. The main goal for the surgeon is to reposition the nipples to look as natural as possible. To add to this, breast sagging also has a major role to play in determining how much the nipples need to be lifted. If the ptosis is to an extreme extent, the nipples will also require significant repositioning. 

Preoperation Consultation

The consultation with the surgeon is an essential stage, as this is where the surgeon discusses the patient’s desired aesthetic results with them, and explains what the surgery entails and what the outcomes will be. The consultation also includes the surgeon examining the breasts and taking measurements to determine the best way to reposition the nipples. 

Surgical Techniques Used in the Nipple Rpositioning Surgery

There are two surgical techniques used to lift the breasts and reposition the nipples. The first technique is the periareolar lift, also referred to as the donut lift. In this technique, a round incision is made surrounding the areola to get rid of excess skin around the areola. The circular incision resembles a donut. This method allows the surgeon to lift the nipples. 

The second technique is the lollipop or anchor lift, where the incision is made surrounding the areola. Another incision is made in the breast crease, extending to and connecting with the incision that surrounds the areola. The shape of this incision resembles an anchor or lollipop, hence the name. This procedure helps with adjusting breast tissue, reducing sagging, and repositioning the nipples. 

Here’s What to Expect During and After the Surgery

This combined procedure is carried out under general anesthesia. How long the surgery will take largely depends on the complexity of the procedure. However, on average, the procedure may take anywhere from 2 to 3 hours. 

To add to this, the scars resulting from this surgery will fade over time and become lighter. Moreover, the recovery phase only extends to about a couple of weeks. During this time, there will be some swelling and bruising. However, your surgeon will guide you on how to care for your incisions and reduce the discomfort. 

You can see the results of the breast lift and nipple repositioning surgery immediately after the surgery. The breasts will look higher and more lifted while the areola will look more symmetrical. 

🎯 Who Should Opt for the Nipple Repositioning Surgery + Breast Lift Combination Surgery?

The ideal patient for this combination surgery should be: 

  • Women who have breast ptosis and sagging or low nipples. 
  • Patients with a lack of volume in their breasts. 
  • Women who have gone through drastic weight loss or pregnancy which has caused their breasts to sag. 
  • Those who want their breasts to look more symmetrical and lifted. 
  • Women who do not smoke. Smoking can hinder healing after the surgery. 
  • Those who are not planning future pregnancies, as this might affect the outcomes of the surgery and require revision surgeries. 

Connect with the Estherian Clinic’s experts today!

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