Is it possible to fix high uneven areola/nipple when skin is already tight from breast lift?

Yes! This is usually very easy. In most cases, removing skin from the lower pole of the breasts should bring the areola down to level.

Best of luck,
Dr. Miguel Mota

Unfortunately an overly elevated nipple position is common after a traditional breast lift using an anchor scar (inverted-T, Wise pattern). This is because of the geometry. The nipple is transposed up because the skin flaps are pulled down. The vertical breast lift is much superior because the tissue is removed from the lower pole and the two sides are brought together, trading width for projection, which is much more desirable than trading projection for width. You will need a skilled surgeon to correct this problem. It is not easy and involves usually using an implant and pulling the nipple and areola down into better alignment.