Jacked nipple 1 year p.o. (photos)

[RoundRobin]

I had my surgery one year ago. From the moment that the bandages were taken off, I could see that my nipple was pointing downward. I was told to give it six months but the problem persisted.
The two photos are both with me flexing the muscle which increases the degree to which the nipple pushes out and down.

Has anybody seen anything like this before?

[Dr. Schuster]

It would be helpful to see the pre-op photos. You may have had a very soft areola, or prominent nipple which would have predisposed ou to this. Nevertheless, you might have some residual tissue beneath the nipple and / or some scar tissue retraction. I would think that this would be able to be fixed with just a small revision.

[Dr. Cruise]

It appears the skin has retracted. It might be possible to fix this with a minor surgical procedure. I would recommend a visit to your plastic surgeon or seek out a second opinion from an expert gynecomastia surgeon. 

[DrPensler]

A couple of points.First the best way to assess the situation is without having the pectoral muscles flexed because as you note flexion increases the deformation. It appears you have some scarring particularly in the inferior aspect of the areola and below. The treatment would be release of the scar and potentially rotation of fat into what appears to be a depression at the incision site.

[Litlriki]

As the others have noted, the deformity should be able to be addressed with a minor revision.  To my eye, it looks like the peri-areolar scar may be adherent to the deeper tissue causing the deformity. This would need to be released and padded with a little fat flap to lift it back up and keep it up.