How Can I Reduce Areola Scars from Breast Augmentation?

There is no way to remove scars (other than replacing them with other scars).
There are several treatments with scientific evidence that make small improvements in normal healing scars.
They include:
1. Scar massage
2. Silicone sheeting
3. Topicals like Mederma
Timing of the use of these treatments is important and using something like Mederma too early can cause wound healing problems.
Remember, it won't remove the scar but it will make them less noticeable.
For atypical scars (keloids and hyertrophic scars there are additional treatments like steroid injections which carry separate risks but may be of some benefit).
I hope this helps.
Steven Williams, MD

There are new scar gels which have growth factors in them which can improve the appearance of the scars.  I typically wait one month before applying anything to the scars.

All scars are permanent, but will always fade with time. I tell patients to massage their scar to soften it and to apply topical scar creams such as Mederma to help lighten the scar. There are also scar creams available in many surgeons office that have silicone to compress the scar. Using silicone sheets also helps to soften and compress scars. Avoiding direct sunlight on the scar by using sun block will also help to speed the healing and fading time. 

How long ago was your surgery done ? If it is less than 12 months ago, so you still have a good chance that the scars get better if you deal properly with them. The first 24 months post op the scars are somewhat active, so you should do repeated massage of the scars daily, and you may use silicon gel and lightning cream. Laser treatment is also may be very efficient. Within 6 months the scars will most probably improve. Do not expose them to the sun during this period as well.I advise you to do the above procedures and be patient. In time they may become very discrete.

Areolar scars after a breast augmentation are under tension which tends to make scars larger, the body will do this to overcome these forces and help heal after surgery. Silicone sheets have been clinically verified to help with these scars. Silicone containing scar gels and creams are also used. Generally, the best time to address scar hypertrophy is between one month and 6 months after surgery. In my experience, larger scars improve little after this time (except color as this will fade for a year or more). Close follow-up with your surgeon for a year post op is often practiced to address these issues as they occur.

Thank you for your question. Breast incisions can be managed using a multimodal approach:
1) Scar massage - starting as soon as the surgical dressings come off and the incisions are sealed
2) Silicone sheets or scar gels for about six months to year
3) Embrace - a tension reducing dressing for the first 2 months
4) Fractionated lasers to help blend the scar into the background - done as a series, starting about 4 weeks after surgery and repeated every four weeks for six months.
5) Sunscreen to prevent the scars from darkening