Left over areola on scar after breast lift??

There are many different techniques and philosophies used for breast lift surgery. Even with large areolae, a technique can be performed that removes even large areola. It all depends on the geometry and type of incisions planned.There is certainly nothing wrong with a two staged procedure, however, it does require an additional surgery and the accompanying cost and recovery.

Yes, unfortunately, a VERY wide areola might get involved in the vertical closure.  This is very uncommon and usually only in exteremly large areola.  Usually only the faintest portion of the areola are involved.  If this does occur, it can usually be cut out later when swelling goes down.

With a vertical lift it is possible that if the areola is very large it can run into the lift pattern and some could be "left" along the closure. We suppose it might be best to plan a pattern where this does not happen, but your surgeon might be correct. A second opinion might clear things up.

Yes sometimes some areola skin can be left after a breast lift or reduction.  This is usually a temporary situation and it can be removed after a year.  It usually is not very obvious but that depends on nature of pigmentation.   This is a valid suggestion your doctor has made.   My Best,  Dr C