Is It Normal to Have Scars This Bad 11 Months Post Op? Why Are my Nipples Flat Now? (photo)

You have hypertrophic scars along the bottom and it sounds like you may also have them around the areolas. It doesn't look as bad in the vertical scar. This is the result of either your body's healing, or bad surgery. Do you have any other scars on your body? How did they heal? Regardless, at this point I think the best solution would be to have surgical scar revision (maybe not by the original surgeon), and plan on aggressively treating the scars post op with silicone gel sheeting or steroid tape. if it begins to recur in spite of this I would promptly start laser treatments. Do you have sensation in the nipples? If not, this might be why they are flat.

Thank you for the question and pictures.

Based on your description and pictures  think you will benefit from scar revision surgery. Depending on your physical examination some improvement   in the nipples'   situation may also be achieved. The use of silicone sheeting and/or steroid injection may be helpful postoperatively.

I hope this helps.

You have a major problem. Without knowing the details it is impossible to know if that is just the way you healed, the way surgery was done or both. You will need surgery to fix this but just cutting out the scars will not help. The removal of additional tissues will just stretch the nipple areolar complexes even more and widen the breast fold scar more as well. You may have to go to smaller breast implants. You need to be very careful in choosing your surgeon for revision. If they promise you too much you will be better off going elsewhere.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.