What are my options for revision to lower my nipples? I'm happy to compromise- the size -add a scar above each nipple (Photo)

Hello,
It is unfortunate that you didn't get satisfaction from your revision surgery, and only your surgeon knows exactly what he did.  What should have been done would include reducing the internal capsule (capsulorrhaphy) so that the implants are positioned higher on your chest, without the support of your skin to keep them there.  In addition, an external reduction of skin from the inframammary fold would tighten up and inframammary skin. By combining these two procedures, your implants should have less lower pole fullness and hang, and more upper pole fulness. Best of luck!

 Lowering the areola from above will not work because the resulting scar will then pop out of the bras...  The bottom of your breast is too low and that's where the brawl wants to settle. The key will be changing the bottom of your breast to a higher position so the bra will now sit at that level and cover the areola.  That means a real successful revision and reduction of that bottom part of the breast. That should be discussed with your surgeon!!!! 

Hello!  Thank you for your question!  High-riding nipples are often difficult to correct. However, given your submitted photo, I would suggest excising a wedge of skin and soft tissue at the inframammary fold and create an inverted 'T' incision. It appears that the nipple to inframammary fold distance is quite long and should be shortened. This would hopefully ameliorate your concerns to some degree.  Hope that this helps!  Best wishes!

It seems like you already had inappropriate surgery to try to correct this problem. The situation itself is well-known to be difficult to correct. There may be other approaches to try to fix this, including tissue expanders, etc., but this can get very complicated and increase the risk of other problems.

Unfortunately, your situation is generally very difficult to address. An examination would better help to determine if and what may be done to improve your situation. One possibility, again depending on the residual laxity of your tissues would be to reduce your breast size by removal of tissue lower down and removing an ellipse of skin and tissue near the bottom, allowing to rotate your nipple down to a more satisfactory position. This will also avoid a scar higher up.You should seek one or more second opinions from reputable board certified plastic surgeons and then make your decision accordingly.Steven Turkeltaub, MD