Why does the areola on African American women look significantly darker and unnatural after a breast lift (mastopexy)?

hello thank you for your question and provided information as well.. based in your question its difficult evaluate you if the case dont have a picture, my recommendation is get  a consultation in person with a plastic surgeon to discuss all about theme.

Thank you for the good question.
There are many factors involved when it comes to the exact "scarring" you see on different photographs. Sometimes, there is a difference because every plastic surgeon may have a different approach to placement of incision lines and exactly how the operation is performed. On the other hand, scars may differ because of different patient body types and because patients scar differently. Again, there are many variables involved.
Always best to communicate your goals, concerns, and questions directly with your (carefully selected) plastic surgeon.
Best wishes.

The
technique I use is The Bellesoma Method. 
This is based on a central mound, which provides better blood supply to
the nipple then the pedicle techniques.  Vertical
scars used in the lollipop and anchor techniques place tension on the areolas, cause
unnatural distortion and ischemia.  The
Bellesoma Method avoids vertical scars, nipple sensation and the ability to
breast feed are maintained.  Your breast tissue
is reshaped creating upper pole fullness without implants, elevated higher on
the chest wall and more medial to increase your cleavage.  The areolas do not look unnatural or
darkened.  Best Wishes,Gary Horndeski, M.D.