Areola Revision (revise the whole thing or just a partial crescent revision)?

You need to do the entire lift again to get a better shape of your breasts. Just revising the areolae will do little for your breasts.

Greetings! Thanks for inquiring, there are several things going on in this photo with the breast. We would love to discuss your breast goals in more detail. A virtual or in office consult would give us the best direction to reach your overall goal. Please feel free to contact our office to schedule.
Mays Plastic Surgery

Dear 40yearoldtuneup,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery