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

The normal position of the nipple/areolar complex is equal to or 2-4 cm above the level of the inframammary fold and center at the midpoint of the breast, at the most projecting portion. If the nipple/areolar complex is placed too high during a breast lift, there are 2 options: to move the complex lower, an incision could be make around it and when the complex is moved lower, an opening is created that needs to be closed and this is the area that is usually above the bra line and hence will be very visible. The alternative option is to raise the inframammary fold so it is in correct position in regards to the nipple/areolar complex. It is difficult to create a higher, natural, permanent inframammary fold. Best wishes.

It depends on if you have an implant or not. In the case of people who have a breast lift with implant, you can correct the malposition by downsizing the implant, and removing skin from the lower pole, shortening the breast. This effectively lowers the areola without any scar on the upper pole of the breast. Seek the care of a board certified plastic surgeon to learn your full range of options.

It is possible to improve symmetry even if the breast skin is tight already. However, an in-person assessment would be needed to determine if it is possible for you.