I'm 58, 5'2", 126lbs. Light Caucasian skin tone.
Hi, thank you for sharing your question. This can be corrected by addressing the lower pole as you alluded to and can be done through an IMF incision.
While they may seem high, it can be improved with a lower pole resection with a small wide implant to fill out the top. Good luck. Don’t move your nipple any higher.