Nipples Facing Outwards 2 Years After Silicone Implants. Will This Recur w/ Revision?

I have reviewed the comments of my colleagues and agree with almost everything they have said.  The bottom line is, it depends on the specific factors of your case.  I will add 2 more thoughts.  I have seen lateral positioned/pointing nipples in sub glandular augmentations, that are corrected with submuscular placement.  These cases have been associated with capsular contracture and implant displacement, which may be the cause of your problem.  High profile implants, because they are narrower, may be placed more medially to give the appearance of greater cleavge  leading to a more lateral appearing nipple.  This  can  usually be corrected with wider implants.  Even if your nipples did point to the side before your 1st surgery, it should be possible to improve the position/appearance with a subsequent surgery that is tailored to fit your specific issues. Just be open minded when you are having your PS consultation.

Outward nipple position can be exaggerated after breast augmentation. This can sometimes be corrected by repositioning the implant. However, the easiest way to improve the nipple position is to remove a crescent of skin on the inside of the nipple-areola complex to "pull" the nipple more inwards. (medial crescent pexy). This leaves a small scar around the inner border of the areola which usually heals very well being in the margin of the areola. Nipple sensation should not be affected. This could easily be done at the same time as your implant exchange.