2 months post vertical mastopexy, has it gone wrong? (photos)

Your nipples do appear to be high relative to the upper border of your breast. This can be a challenging problem to fix. You appear to have a long areolar to infra-mammary fold distance as well. These problems can be addressed by removing a transverse 'wedge' of breast tissue along the fold beneath your breasts, thus shortening the areolar to fold distance. This will also get rid of some of the sagging tissue you have along the lower pole of each breast. This solution is not perfect, but it will help the situation to some degree.

Hi...Dr. Tholen has beautifully outlined your problem and the solution.  The vertical mastopexy is sometimes used too much in that it seems that a horizontal incision can be avoided.  This seems to a patient to be great but in your case, there is too much distance from the nipple complex to the crease.  This by definition needs to be addressed and the skin envelope tightened at the crease.  In your case, this would be a larger excision to support the implants that have bottomed.  Your situation is quite easily approached and your ps should give you options and not brush you off.  Perhaps your ps feels uncomfortable in revising your case and you have to accept that he/she may feel that this is the best it can get.  IT IS NOT THE BEST IT CAN BE!!!  Get other opinions.  Seek someone who has a vast experience in breast surgery.  By the way, your revision will NOT be as uncomfortable as the original procedure.  Your muscle is stretched (assuming that your implants are under the muscle) and you just need to tighten the envelope.  Your nipples can be adjusted in position if needed at the time but an anchor pexy would be the answer before your procedure and it is now also.  You might benefit from a vertical inverted V along with the horizontal  excision also but this would be determined at the table .  A second look can be great to have all details addressed.