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Areola reductions have two problems. The scars often become wide and the areola tends to stretch back out. Consider the lollipop lift. It works much better and keeps the areola small
Areolar reductions can be done at the same time as a breast augmentation, but there is a limit to how much they can be reduced without having prominent unattractive scars. Discuss your options with a board certified plastic surgeon during a formal consultation.
Although there are problems with periareolar lifts, in the right patient without too much sagging they work well and avoid the vertical scar. An individual evaluation is needed, and no pictures were submitted.
The widest, most conspicuous, and least attractive scars I've ever seen are circumareolar scars. Further, in person in need of a real breast lift, the areola typically re-expands as well. Finally, without an implant, circumareolar reduction will create an abnormal shape to your breast. Either do the right thing or don't do anything.
An exam or photos are needed to determine if you are a candidate for a more minimal lift. One thing to be aware of is if too much tension is placed on the areola from the weight or size of the implant, the areola can stretch after surgery. I encourage you to meet with a board certified plastic surgeon near you for an in person evaluation.
The results of this type of surgery much depends on each patients skin quality, firmness, how it respond to the sutures among others. Im sure your surgeon is looking the best for you and I reccommned to speak with him/her about getting the procedure done one more time and the chances of...
From your description it seems you would benefit from areola reduction surgery. The procedure can be customized to create a more masculine look. The procedure is low risk with a quick recovery. See a board certified plastic surgeon near you to learn more.
From your photo you appear to have herniation of the areola tissue. This can be corrected surgically for improvement. It is a relatively quick procedure with minimal downtime. Visit with a board certified plastic surgeon near you for a consultation.