What notch-to-NAC distance does the speaker give as a typical guideline?

Robert Whitfield MDAmerica's Breast Implant Illness Expert™

Breast Reshaping: Nipple Placement & Sagging Explained #shorts

10 Dec 2025 · 1 min

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1:02

Dr. Robert Whitfield (MD) explains surgical considerations for breast reshaping with emphasis on repositioning the nipple-areolar complex (NAC). He describes how decisions depend on skin quality, existing NAC position, degree of sag (ptosis), breast volume and implant size, and gives a practical measurement guideline (notch-to-NAC) used when anatomy has been distorted.

Questions this video answers

Typically between 17 and 20 centimeters (from the suprasternal notch to the edge of the areolar complex).

Chapters

That's one element. Now, when we're trying to reshape the breast, it depends on how much breast tissue each patient has. We're trying to get the areolar nipple complex positioned on the chest so that it's higher. That's done a certain way. So depending on each patient's skin, where the nipple areolar complex sits, how much sag there is, how much volume there is, how big the implant is, we have to discern what, what combination of procedures will help that patient. If we're taking for instance, a patient has really low set nipple areolar complex, you want the nipple areolar complex to actually line up to where the breast fold should be. If you can't actually tell where that is because it was arbitrarily lowered during the breast augmentation procedure, you can make measurements and give an estimate, typically between 17 and 20 centimeters, depending on the patient, from the notch to the edge of the realer complex. This will help give you a guide. If once again, you can't tell due to the distortion of the anatomy.