How would you approach surgery to align left nipple which is very lateral & the right breast implant irregularities? (Photos)

These photos are Nov 2015, almost 2 years post revision surgery Mar 2014, tear drop under muscle, 4 years after nipple sparing bilateral mastectomy, expanders and reconstruction where both implants rotated with no known cause 2 years after insertion. The implants following reconstruction were smooth, however nipple was still just as lateral. I had DCIS and LCIS, no lymph nodes taken or muscle damage. All margins are clear. I am 45 years old single with no children. thank you very much. Jo

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