Like most of my colleagues, I am going to ask you to relax and let things heal before rendering final judgement on your plastic surgeon's work. Your mastopexy augmentation looks very well done, by the way.' Let's address your concerns as listed. First, uneven nipples. The irregularity around the suture line is due to the sutures, and as they dissolve and the tissues heal and the scars mature, this will settle to a degree that is quite good for most patients (everyone IS different, as are their scars). The skill of your surgeon and the fineness of the sutures and closure technique DO play a role in this. The skill of the surgeon also has a role in the roundness of the areola (how the cut is made), and whether or not the nipple remains in the center. This can easily be redone if it's "off" when healing is complete in 3-6 months, and when the scars have fully matured, softened, and faded in 6-12 (rarely longer) months. BTW, did you or your surgeon measure your nipple position pre-operatively? I can virtually guarantee that they didn't match exactly before, so don't be too surprised that they may not match perfectly now. This is NORMAL! Higher would seem, at least by your photos, to be unnatural. Did you mean larger, less full in the lower pole of your breasts, or did you really want your nipple areola complexes closer to your collarbones? Measure your nipple-to-collarbone distance. Depending on your height, 19-21cm is considered near "ideal." Some of us adjust these figures a bit for individual anatomic differences, so this is not written in stone! The bottom line here is: be patient, trust your surgeon, and listen to his/her advice. This appears to be a nicely-done operation that will likely be just fine when all is said and done. Best wishes! Dr. Tholen