Suggestions for misshapen, high areola 13 years after lift & implants? (Photo)

From your photo it appears you may need to consider a breast lift when you have your implants removed. This will address the size and shape of the areola as well as remove excess skin. Depending on the amount of breast tissue you have, a small implant may be advised for shaping. See a board certified plastic surgeon near you to learn more.

Hello,
And thank you for the question and the photos.
Following removal of breast implants without replacement, a patient may choose one of two options: do nothing and see how much the skin retracts and then decide about fat grafting or breast lift at a later point, or undergo a breast lift and fat grafting at the same time.
If the breast capsules are soft without any issues or evidence of capsular contracture, it is safe to just remove the implants without performing capsulectomy.
Full mastopexy (breast lift) which will put your nipples into the correct position, make the areola smaller and allow excess skin to be taken away, giving you a more youthful and lifted breast appearance. Some people are a little apprehensive to the full breast lift due to the scars (lollipop or anchor), but typically they do very well and scars fade over time.
Fat grafting can also add additional volume to the breasts, sometimes more than 1 session is necessary.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.
Best, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Hello, thank you for your question @L_Brown_7 a very effective procedure is a breast implant removal with mammary reconstruction with a series of steps and techniques that allows to restore the appearance of the mammas with the patient own tissue and incision in L shape for minimal and smaller scars. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS