Top surgery nipple placement, too high?

[Alex_C]

From pics I see, it looks to me like the nipples are being placed higher than on bio-guys who have any chest development, and by that I mean muscle. Look at the guys on bodybuilding boards or just at the gym, the nipples are quite low.

I don't want weird looking pecs, man!

Any input on this?

[Nick Aiden]

I have thought that a few times in pictures I've seen. But they dont always look bad. I'm sure its something you could discuss with you doctor. Surgery is different for everyone so most docs will happily cooperate with simple requests.

[Miniar]

For my part, I'll take photos of both post-op-chests and male-born-chests to my doc when I do go and I will press for the most "natural" looking result possible.

"do this, not that" sort of stuff.
I'm the customer, I should get what "I" ask for...

*shrug*

[Alex_C]

Miniar that's exactly what I may do, someday, when I have the money.

[Osiris]

I think it also depends on when you're getting your surgery. I see alot of guys get it as soon as they get on T, but the best results I've seen is when guys have been on T for a year or longer. I think it's very important to be on T for awhile and work out. Contour some muscle so that the surgeon isn't working blindly. It can be difficult to get the placement right if you're not sure how things are gonna line up after more muscle development.

[Alex_C]

Very good point.

[Nero]

If you've chosen a good surgeon, he (or she) will tailor the results to what's best for your body. I agonized over nipples for some time. In the end, I just told him to use his best judgment and I am very happy with the result.
By all means discuss your concerns about placement with your surgeon, but also remember that he or she has likely been sculpting human flesh for years and knows what he's doing. The first step of course is not to choose someone whose results you don't like.

[Alex_C]

Good thinking there.

[JonasCarminis]

it seems a lot of the time nipples are way too high and too close together.  it kindof pisses me off that brownstein is so "popular" and he is one of the most guilty of this IMO.

Back in 2006 I was at a lecture given by Brownstein and he stated that it is much more difficult for a surgeon to get correct nipple placement with a keyhole or peri-areolar mastectomy than with double incision.

That said, this seems to contradict many of the post-op photos I've seen, in which people who had peri/keyhole usually had better placement, compared to people who had DI who often had high up nipples.

Just from photos, higher up nipples seems to also be more of an issue for bigger guys.

maybe brownstein thinks that because he puts nipples too high and thinks that the peri/keyhole people have nipples too low.

the only surgeon who i have found to (consistently) place nipples in a good position (lower outer edge of pec) was Garrmone in FL.  ive seen some other good ones by some surgeons outside of the US.

[Nero]

Back in 2006 I was at a lecture given by Brownstein and he stated that it is much more difficult for a surgeon to get correct nipple placement with a keyhole or peri-areolar mastectomy than with double incision.

That said, this seems to contradict many of the post-op photos I've seen, in which people who had peri/keyhole usually had better placement, compared to people who had DI who often had high up nipples.

Just from photos, higher up nipples seems to also be more of an issue for bigger guys.

The nipples aren't moved during peri/keyhole (correct me if I'm wrong), so placement would depend on where the guy's nipples were in the first place.

[JonasCarminis]

The nipples aren't moved during peri/keyhole (correct me if I'm wrong), so placement would depend on where the guy's nipples were in the first place.

they can be adjusted some.  but not really "moved".  a lot of times, skin is removed by cutting around the nipple, then cutting a bigger hole (removing a 'skin doughnut') then sewing the nipple back into the skin.  the skin pucker around the nipple kind of like on a drawstring bag.

by making the skin doughnut thicker on one side and thinner (or non existent) on another, the nipple can be "moved" (up, down, or to a side) a little when sewn back on.

[Alex_C]

Josh I actually like the placement on yours. Now build up that chest, get some good delt and lat development to bring out the V shape and get some plain old upper body mass, and you will REALLY REALLY look like, hunky chick-magnet guyville.

The "girl pooch" is so hard to get rid of, I had no pooch until I was past 30, always hard as a board from my chest right on down to the fun place, now I've got all this extra hangin' around like an auxiliary gas tank, that trims down when I eat less. I may have to just put in the miles (running) to really trim that down though.

Loren Cameron is kinda my hero.

[JonasCarminis]

haha yea, i think i got good nipple and scar placement.  i need to trim down a little, but im not really too worried about getting buff.  im mostly gay and i have a BF anyway, im not too worried about strutting like a peacock.

[Christo]

everybody's chest's differernt. I went 2 Brownstein & my nipples are fine but Ive seen some messed up ones too done by another doc.

this is what Brownstein goes by
http://www.brownsteinmd.com/nippleareolagraft.html

some results http://www.brownsteinmd.com/results.html

they look cool 2 me 

[Alex_C]

Yeah lookin pretty good, I'd say my situation is about like Chest #16, and I just measured, my aureolas are nickel size exactly (wow that nickel was cold!) the nipples themselves are a bit big though.

[Tay]

I'd say chest eight on those pics is the best for nipple placement.. but that guy does have some decent muscle mass going on too.

[Lachlann]

I'd say chest eight on those pics is the best for nipple placement.. but that guy does have some decent muscle mass going on too.

They're actually out of alignment with the abs there. The nipples should be in alignment to where the outer edge of the abs begin, so if you drew a line downward, they'd match up.

[sneakersjay]

There are more examples of nipple placement on transbucket also.


Jay

[Alex_C]

Cool - I didn't know about that site. Transster is gone so this is nice to hear about.

[JonasCarminis]

everybody's chest's differernt. I went 2 Brownstein & my nipples are fine but Ive seen some messed up ones too done by another doc.

this is what Brownstein goes by
http://www.brownsteinmd.com/nippleareolagraft.html

some results http://www.brownsteinmd.com/results.html

they look cool 2 me 

IMO those links didnt help brownsteins case much.  he mentions "It is important, however, to avoid placing the areolar grafts too central. This gives a very unnatural appearance to the chest and stands out considerably." but seems to place them there about 1/3 of the time anyway.  about 1/3 of the others seem to be placed ON (considerably too high and close to the center) the pec, not the lower outer edge.