Nipples too high? (Photo)

Your result looks very nice and symmetrical.  However the nipples appear higher  because the implant has descended lower.  If you are unhappy with the position of the nipples a surgical revision to tighten and reestablish the fold beneath your breasts to a higher position on the ribs will improve the nipple position.

I would have to agree with the others that in my experience of doing thousands of breast augmentation procedures, it's your implants that look to low, not your nipples. In all likelihood, your inframammary fold was manipulated to drop too low, although sometimes anatomically this sort of thing just happens without a good explanation.  I would voice this concern to your plastic surgeon ASAP, so that he/she can try some early non operative intervention (taping, underwire bras, etc) before you have to resort to operatively correcting her it (which I wouldn't recommend until you are at least 6-12 months post-op). Best of luck to you! 

Please note that no skin was removed (or added) between your nipples and your collarbones, which means your nipples did not change position. So your nipples are neither "too high" nor "acceptable"--your implants are too low. Either they started out that way, or more likely started out with a good nipple/mound relationship, and then dropped with scar softening and gravity. (Funny thing, gravity. It affects 100% of patients!)I think raising your creases via internal sutures and wearing a supportive bra day and night for at least 3 months will yield an improvement by raising your implant position and improving mound/nipple relationship. You should check the costs with your surgeon, as well as his/her willingness to proceed, and a discussion regarding likelihood of success. It's easier to start (at the initial surgery) a bit high and plan on gravity and scar stretch, rather than put the implants where you think they should be and hope that a bra will "hold them" in position, or that gravity won't apply. Just my way. But you're a perfect example of why I have that reasoning and approach. Your appearance won't get better over time, BTW. That darn gravity! If you saw me, I'd recommend re-operation. Best wishes! Dr. Tholen