Her surgeon might be in a catch 22 here:
If he does the full lift operation there are more scars. If he does the lesser operation, she may look distorted. A full lift is more risky for smokers which might also be a factor.
It’s hard to tell with the “nipple slip picture” as the only one we have for evaluation. We don’t know much of what she looks like now much less what she looked like before her operation.
John Di Saia MD
My Website’s Breast Lift Section