Which procedure would help minimize the appearance of scarring on the nipples from a previous mastopexy? 5 years post op (photo)

Hello, I had a Brest augmentation and circle mastopexy to resize my nipples to be smaller and lifted. I was left with larger looking nipples, with ugly circular scars. 5 years ago and this is what they still look like. Have done injections into them (did soften them but still ugly) and micro needling. I HATE the look of my nipples still. Would Tretinoin help? Laser? Please help. My nipples look way larger with these hideous scars.