Can the nipples simply be moved back down during a revision?

Alterations in the position of the nipples or areolae can be completed with revision breast surgery. Moving the nipples higher is usually easier than moving them down however. If the nipples look too high, it often requires the adjustment of the IMF (inframammary fold or crease). This can be done with either an internal capsular adjustment if you have an implant or removal of excess skin at the bottom of the breast.

There are a variety of techniques to reposition the nipples from nipple transposition procedures to altering the placement of the implant. Photos and/or a physical exam would be really helpful to answer your question.

If the nipple position is too high in relation to the distance from the collarbone to the nipple, there is little that can be done except skin graft or rearrange tissue to get more skin above the nipple. However for many women with concerns about nipple position, the nipple is not too high on the chest, but it's just too high compared to the amount of skin/breast tissue below the nipple. This can happen if an implant settles too low or the breast tissue drops too much after a breast lift. This kind of nipple problem can be fixed by repositioning the implant or breast tissue and providing support to the lower breast. I hope this information is helpful for you to decide if your nipple can be lowered. It's difficult to answer directly without seeing photos.