Is this scarring or my old areola? Should I use scar cream? (photo)

Thanks for your question! It is too difficult to determine without seeing your pre-op photos. I would definitely suggest starting with scar cream and laser treatments if necessary. They can definitely help! Good luck!

Hi and welcome to our forum!
From your photo, I note an ill-circumscribed crescent of increased pigmentation adjacent to the surgical scar. It may be hyperpigmentation of healing or could represent a crescent of residual areola.
Many patients who undergo breast reduction will also demonstrate large areolae. Many will have areolae with ill-defined borders that extend a considerable distance from the nipple. The presence of large areolae may preclude initial direct closure of the surgical incision, necessitating leaving as little as possible of the areolar tissue while allowing for incisional repair. Quite often, as the healing tissues remodel and soften over a period of 6-12 months, a secondary revision may further tighten the inferior breast and eliminate the residual pigmentation, regardless of causation.
If this is of concern to you, revisit your plastic surgeon for re-evaluation and discussion. You will suffer no ill effects of leaving it alone.
Best wishes...