This patient had an earlier breast augmentation. She presented with a marked stretching of lower parts of her breasts. Nipple and areola had been displaced into upper parts of breasts.
Correction was done by using lower portion of skin of breasts to raise physical level of breasts on her chest. This reduced breast length without any scars on the breasts.
Breast tissues themselves were rolled back into breasts, increasing breast fullness. Breast implant sizes were reduced to reflect this added fullness achieved with natural breast tissues.
Reductions of lower lengths of breasts automatically corrected positions of nipple areolas.
Simply stated a shelf was created at a higher level on the chest. Breasts themselves were molded and placed on this self. This approach avoids any scarring on the breast surface.
This approach is applicable to situations were nipple areolas are naturally high and breast lift is needed.