Is nipple repositioning the only option to correct my uneven and lopsided nipples? (photos)

Sometimes doing a breast implant surgery through the areola multiple times can cause a build up of scar tissue and the nipple can get pulled down and impede the "under breast" from rounding out. Even fat transfer can fail in these situations. If both of your breasts are soft and free of any capsular contracture at this point, the only way to correct the nipple position is to do a small lift, a lollipop scar, to raise the nipple and improve the appearance of the flat area under the current scar. You will have to do this on both sides for symmetry.

Hello;As I understand, breast implant exchange has been performed, but a lift (mastopexy) has not been done. Because of this, the areola-nipple complexes could not be elevated to their proper position, resulting in a sagging appearance. Additionally, due to adhesions in the semi-circular incision of the left areola, there is retraction in the scar. This cannot be corrected with fat injection. You need to undergo mastopexy.

Your areola can be positioned to sit a little higher with an incision all around the areola. Measurements are needed to see how much higher it should sit, It needed, both can be raised.