1 year post breast lift, my nipple is scarred pretty badly, can I have it stretched and scar tissue cut out? (photos)

You appear to have a significantly scarred areola within a standard circular areolar closure. This may be due to delayed wound healing or another post-op healing issue. The best way to get a nice round areola on that side is  to remove the scarred areolar skin completely and replace it with a skin graft from the groin which has a slightly darker color than the surrounding breast skin. A difference in pigmentation compared to your opposite areola could be corrected by a medical tattoo artist.

Thank you for the question and pictures.

Although skin graft reconstruction is an option that potentially will improve the appearance of the scarred areola,  I'm concerned about the aesthetic appearance of the skin grafted area.  if you're considering this option,  make sure you see lots of examples of the plastic surgeons previous work;  realistic expectations are very important to avoid disappointment later.

Best wishes.

I am sorry to hear about your problem. When the nipple scars well, it scars amazingly well and, when it scars poorly, it can be horrid. I do not believe that scar revision will improve this condition, which probably resulted from a slough of the nipple tissue. You should consider a skin graft to this area to recreate the nipple and to have tattooing to restore the shape and color of the areola.