2 years after breast reduction with lift, pleating / bunching are still present. Would I benefit from a revision? (Photo)

Your breasts are bottoming out and when they do they are dragging your nipple and areola along with them and causing the shape and skin changes. You would need to have another reduction to correct that--I would see your surgeon to discuss if re-doing the lift would help you.

Hello and thank you for your question.
Looks like you have a good result. Reach out to your surgeon with your concerns.
Best wishes!

At two years post op these are your final results. If the shape of the areola is bothersome you can consider a revision. It is important to though weigh the risks and benefits of another procedure. Your board certified plastic surgeon can help you through this decision.