Stretched nipples after breast augmentation? (Photo)

It is normal for some temporary changes after augmentation.  These include change in appearance and sensation.  These will usually settle down after several weeks to months. Close follow up with your plastic surgeon should alleviate your concerns.

Thank you for your question and photograph.  The changes in your nipple appearance is the result of swelling from surgery as well as the additional volume behind them in the form of your implants.  Over time, as your swelling resolves and your breast tissue accommodates your implants, you will see that your nipples will return to a more normal appearance and sensation.  Your areola will remain larger than before your procedure however, also a result of the additional volume from your implants.  

At one week postop it is too soon to see your final result.  You should feel tight and sore still.  Nipple sensation is sometimes affected with breast augmentation and may take months to normalize so do not worry at this point.  Follow your surgeon's direction and try not to worry.  You should do well overall.