How to fix nipples which are too high? (Photo)

I can understand your concern.

This is a particularly troublesome problem.

In my opinion, you will need to undergo an explantation. Your implants are far too large for your frame and your breast.

After everything is settled, following removal, you would undergo a secondary breast reshaping to correct the lower pole. If fortunate, you could undergo a final augmentation with much smaller implants.

Using excessively large implants, increases the chance of undesirable side effects, the need for revision surgery, and complications.
The bigger the implant, the higher, the chance of having all of these problems.
I think your description matches what I am saying perfectly.
The natural anatomic integrity that allows the implant to sit in. The correct position, has been violated during surgery in attempt to fit an implant that is far wider and larger than your natural breast.
When the inframammory fold gets violated, the patient is at high risk for having implants that bottom out.
As the implant it begins to slip downwards due to contractile pressure from the pectoralis muscle and gravity it creates the appearance of the nipples sitting too high.
The nipples haven’t moved. What is changing is the implant position in a condition called bottoming out.
This can sometimes be corrected with using permanent sutures with or without reinforcement with mash.
These reinforcements may or may not be able to hold up to the gravitational and contractile force of the pectoralis muscle overtime.
Without having knowledge of your full history, I’m guessing that all of the problems are in the end related to implant selection primarily.
There are three variables that determine the outcome of breast augmentation surgery.
The first is the patient’s candidacy for the procedure. The second is the selection of implants in regards to size shape, and type.
The third variable is the surgeons ability to place the implant in the correct anatomic position.
If the implant is placed correctly, then bottoming out will not happen because there is sufficient an atomic structures to hold the implant in place.
When choosing implants that are far larger than the natural breast diameter, the chance of these complications go up because it becomes very difficult to get a quality outcome and still leave the implant in the correct position. The implant has to go somewhere, and if the implant is bigger than your breast, then the implant by definition has to violate your breast periphery.
Using excessively large implants, set patients up for the need of complications and revision surgeries.
These revisions may or may not be successful in the long-term, and some patients will in the end eventually fail breast augmentation because of poor choices made earlier in the process.
Your situation is now highly complex, and very difficult to treat.
Best,
Mats Hagstrom, MD