Areola left in vertical incision. What can be done to improve the shape?

I would recommend a direct excision of the pigmented skin after the implants have fully settled (at least 1 year from the surgery). Another option would be to downsize the implant and perform another lift. I would find a surgeon certified by the American Board of Plastic Surgery; ideally, one with an aesthetic fellowship accredited by The Aesthetic Society. I would also review before/after photos, Google reviews, and talk to the surgeon directly if possible.

Dear Plucky224390,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

It is unlikely that laser will completely change the pigment to be like the rest of your skin, you would likely need a revision of the vertical incision and areola once everything has fully healed to help improve the shape of the areola and that pigment issue.
Hope this helps!

What you have is not uncommon and very easy to fix with a minor revision. It could be done in half an hour under local anesthesia.,I don’t charge for such a revision

The laser will not remove the areolar skin left, but some, perhaps all, could be excised and the areolar made more round if you have some looseness. With the 800 cc implant, this is very large and you may not have much room left.

The 1 posted photo demonstrates the need for areolar revision and reshaping. Fee $4,000. Best to in person or virtual consult with....

When doing a mastopexy augmentation and reducing the areola size, it may not be possible to remove enough skin to clear all the pigmented excess Ariola skin.
Typically, if you give it enough time, the skin will stretch and a bit more skin can be removed later.
I suggest giving yourself a year, then follow up with your plastic surgeon.
Now would not be the time to do so.
Best,
Mats Hagstrom, MD