Why is my Areola Swollen & Puffy 20 Post Op After Breast Lift & Implant? Could It Be Fluid? (photo)

I think this is a typical result at 3 weeks after a breast lift and augmentation and I think you are on the path to a good result.  Scar massaging around the areola at 3 weeks is something I recommend in my patients and can help the swelling resolve and scar settle down.  I recommend silicone scar gel.

Thank you for your photograph.  You have a very nice post operative result and the swelling you are seeing is quite common.  One breast can swell more than the other and the same goes with the areolas.  The skin is so thin that a little swelling can look like a lot. If you have significant concern, you need to have your surgeon evaluate your breasts.  

Posted photo shows normal slow healing of the nipple areolar areas. Allow at least 3 months of healing.