Are my nipples messed up or is this normal at almost 4 weeks post op? Why is my skin rippled at the bottom? (Photo)

Well, I agree that the nipples need to be centered.  While it will require an operation, this can be relatively easily fixed.  As for the results, I do not do vertical lifts for the reason of the shape of breast that you have after surgery.  Good luck with your revision.

Thank you for your question and photos.  Your healing thus far does not appear to be normal.  The surgical design was not ideal, and it seems that you will most likely need a revision which should include a full lift with smaller implants.  Please discuss this possibility with your operating surgeon.All the best,Dr. ResultsMiami, FL

Augmentation mastopexy incisions and shapes can take a while to look normal. Hang in there! As long as the shape and feel are improving week to week, however slowly, there is still hope for the final outcome. Ask you plastic surgeon if there are any compression garments, stretches or massaging exercises that can help speed your recovery.

Thank you for your question and sharing your photos.  It does appear that your nipples are not centered on the areola and that there are some skin rippling on the bottom of your breast.  I would recommend that you visit with your plastic surgeon to discuss your concerns.  Some of the rippling may soften as you heal.  The nipple/areolar region may not change much more.  I would hold off on any revision discussion until you are at least six months out from surgery and keep in close touch with your plastic surgeon.

I'm sorry to hear that you've had a less than desirable result.  There is certainly some asymmetries and lack of roundness to the nipples and excess tissue.  This could be easily revised without a great amount of recovery.  I'd recommend a Weiss pattern or anchor pattern lift to removed the excess tissue.  Talk to your surgeon about your concerns and consider getting a second opinion on operative plan.  Best wishes.

A revision of your breast lift can address all of the issues that you have described including your areolas as well as the bottom half of your breasts.  This should be a fairly straightforward process and recovery is generally fairly easy.  Your plastic surgeon will likely sit you up during surgery to determine how much excess skin will need to be removed.All the best,Dr. Remus Repta