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.

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.

Some widening will be normal after surgery.  From the photos it looks like you have a "donut" Mastopexy.  Depending on multiple factors, (skin quality, incision tension,,etc) this procedure, while usually very effective, can sometimes have some drawbacks.  As you have been down this road a couple of times I would see a couple of board certified plastic surgeons as to you options.  It is hard to say anything without examining you.  It looks like you are going to need a more extensive lift to control the nipple placement and shape of the breasts.  This means more scars, but the trade off is usually better.