The amount of tissue removal varies based on individual anatomy, goals, and the doctor's recommendations. Generally, for insurance coverage, many insurers look for a certain amount of tissue removal based on the Schnur scale and your specific situation.
Losing weight can impact your breast...
If you feel that the breasts are too large, you may qualify for another reduction, especially to resect more breast tissue from the lower part of the breast and improve the overall shape.
Your nipples may appear too high because the lower portion of the breast tissue hasn't been reduced enough...
I don't think your nipples are ruined--what is happening is they are being pulled towards the outside of the breast because they are attached to the underlying tissue (pedicle) and that is falling down and out and taking the nipple and areola with it. It can be fixed by redoing the reduction and...