diff --git a/betterproto/compile/importing.py b/betterproto/compile/importing.py
index aaf4a16..cdef91f 100644
--- a/betterproto/compile/importing.py
+++ b/betterproto/compile/importing.py
@@ -127,8 +127,15 @@ def import_ancestor(current_package, imports, py_package, py_type):
     name    = Bar
     """
     distance_up = len(current_package) - len(py_package)
-    imports.add(f"from .{'.' * distance_up} import {py_type}")
-    return py_type
+    if py_package:
+        string_import = py_package[-1]
+        string_alias = f"__{'_' * distance_up}{string_import}"
+        string_from = f"..{'.' * distance_up}"
+        imports.add(f"from {string_from} import {string_import} as {string_alias}")
+        return f"{string_alias}.{py_type}"
+    else:
+        imports.add(f"from .{'.' * distance_up} import {py_type}")
+        return py_type
 
 
 def import_cousin(current_package, imports, py_package, py_type):
diff --git a/betterproto/tests/test_get_ref_type.py b/betterproto/tests/test_get_ref_type.py
index b02dfea..a2d089d 100644
--- a/betterproto/tests/test_get_ref_type.py
+++ b/betterproto/tests/test_get_ref_type.py
@@ -174,8 +174,8 @@ def test_import_parent_package_from_child():
         package="package.child", imports=imports, source_type="package.Message"
     )
 
-    assert imports == {"from .. import Message"}
-    assert name == "Message"
+    assert imports == {"from ... import package as ___package"}
+    assert name == "___package.Message"
 
 
 def test_import_parent_package_from_deeply_nested_child():
@@ -186,8 +186,20 @@ def test_import_parent_package_from_deeply_nested_child():
         source_type="package.deeply.nested.Message",
     )
 
-    assert imports == {"from .. import Message"}
-    assert name == "Message"
+    assert imports == {"from ... import nested as ___nested"}
+    assert name == "___nested.Message"
+
+
+def test_import_ancestor_package_from_nested_child():
+    imports = set()
+    name = get_ref_type(
+        package="package.ancestor.nested.child",
+        imports=imports,
+        source_type="package.ancestor.Message",
+    )
+
+    assert imports == {"from .... import ancestor as ____ancestor"}
+    assert name == "____ancestor.Message"
 
 
 def test_import_root_package_from_child():