54, 360cc revision breast lift 10 months ago - what has caused nipple issues & how can it be fixed? (Photo)

Your tissue is not supporting the weight of these implants, and they are sagging down. This give less fullness at the top of your breast and less support to your nipple area which is collapsing inward. I suggest exchanging for smaller implants and placing them behind the muscle. Then, consider fat grafting if the nipple area is still too thin.

Your photos don’t really show what the problem is. If you can repost good front on photos I may be able to advise you

To make an assessment regarding the outcome of any plastic surgery procedure, we need to see a complete set of proper before and after pictures.
If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took.
We can’t really make a good assessment from the pictures you’ve included.
There are suppose two variables to look at.
One is the placement of the nipple during the breast lift and the other is the position of the implant.
It’s hard to tell if your implant is bottoming out from your pictures.
Likewise, it’s hard to tell if the nipple was placed too high.
A lot also has to do with your candidacy for the procedure In the first place and that’s why we need to see before pictures.
If you’ve had more than one operation, then you should include before and after pictures for each of your previous procedures.
For proper second opinion, consultations scheduled doses in person consultations with other plastic surgeons.
For second opinion consultations come prepared bring with you complete set of proper before and after pictures and copies of the operative report For each of your previous procedures is paid
Before and after pictures and operative reports are part of your medical record that you can request at any time from your provider.
Best,
Mats Hagstrom MD