Areolar Stretching After Breast Lift

Thank you for the question and pictures.

I think the only reliable way to correct the issues at hand is to undergo a full mastopexy procedure.  This procedure will take some stress off the areola,  allow for decreasing the size of the areola with less risk of recurrence, help with some of the general breast ptosis and generally improve your results.

This may or may not necessitate downsizing of implants;  in may be possible to improve the superior pole fullness with the revisionary surgery.

This type of revisionary surgery does require some experience;  be careful with your plastic surgeon selection.

Best wishes.

If the nipples are indeed high lowering them will produce more scarring above the areolae. If the nipples appear high due to bottoming out (gland has dropped), a vertical reduction may improve the location and reduce the areolar size by reducing skin tension.

This is a difficult problem and entails an element of risk in attempting to revise the surgery. A permanent suture may help to improve the result but it can cause other problems. Discuss the risks and benefits with your surgeon.