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.

Thank you for your question. It would be helpful to have photographs of your breasts for the best answer for you.However if you have had breast augmentation with breast implants and your nipples look to high in most cases you have what is called "bottoming out". In this situation the breast implants have simply moved to low on your chest wall beneath the nipple areola, are pushing the nipples upward, and since the volume of your breast is now below the nipple areola the nipples look to high.If this is the case then a revision may be able to re-create your inframammary crease and position the implants higher to a more natural looking location which will create fullness both above and below the nipple and the nipples will look more appropriately placed.For proper diagnosis and recommendations please see a plastic surgeon who is certified by the American Board of Plastic Surgery, who is experienced in revision breast cosmetic surgery, and has an excellent reputation in your community.