Without knowing exactly what your concerns are and also reviewing your photos, I can only speak in general terms.Revision surgery following breast reconstruction, including DIEP flaps, is common and generally is necessary for best results.Options include:- nipple and areola reconstruction- fat grafting- revision of scars by excision and restoring, both of breast and donor site (i.e. your abdomen)- liposuction of the flap, chest wall or donor site- addition or exchange of a breast implantI suggest you consult an experienced plastic surgeon in your area for an opinion. They will be able to assess you individually and advise your best options and their cost.All the best,Dean