Please help, breast lift gone bad. What are my treatment options? (Photo)

I would recommend a scar revision with slight reduction in the Nipple-areolar complex. Now that enough time has passed, a revision can be done with minimal tension on the skin and a more acceptable scar.

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

I'm sorry you're not happy with your outcome. Fortunately there are options to improve your result but also limitations.
Reducing the areolar size with a permanent suture should be feasible and reliable.
It is typically best to wait at least a year to perform scar revision. Genetics plays a big role in scar formation so if you scarred poorly the first time you'd want to take a lot of additional steps to optimize the future scarring. This can start with preop nutrition, post op tapes, topicals and maybe lasers.
Lowering the areolar location can be tricky. The only real option is to remove an ellipse of skin from the lower part of the breast, in the breast fold, to pull it down. If everything is really tight that may require a small volume reduction.
Overall tight incisions can lead to poor scars and more areolar stretch.
Hope that's helpful.