Expander implantation for correction of high-riding nipple with enlarged nipple-areola complex using revision mastopexy: A case report.

Background: High-riding nipple is one of the common complications after mastopexty and breast reconstruction. However, to date, a limited number of techniques have concentrated on how to lower the high-riding nipple with enlarged areola.

Methods: This is a case report describing a combination of surgical techniques to decrease high-riding nipple. A 26-year-old woman, who previously underwent several breast operations, sought correction for high-riding nipple with enlarged areola. Expanders were used and multi-stage techniques were performed. After one year of follow-up, lowered nipple, reduced areola size, ensured nipple blood supply, and improved breast ptosis were achieved, and the patient was satisfied with the breast contour.

Conclusions: The proposed technique offers a feasible treatment option for postoperative nipple over-elevation combined with areola dilation.