What Would You Do to Fix Areola Stretching and Uneven Nipple Heights After Vertical Breast Lift?

A periareolar mastopexy with a permanent suture on the left side would improve your symmetry dramatically...keep in mind that your breasts may never be totally symmetric...we tell our patients that cannot create identical twins, but fraternal twins...see examples of your surgeon's work before making a decision.

Thank you for the question and pictures.

Further areola reduction surgery can be performed using permanent sutures to help prevent repeat spreading of the areola. Of course, permanent sutures have their own potential downsides including palpability,  risk of infection, and occasionally a tight ring like feeling ( and subsequent “puffy” appearance of the areola).

However, considering your history and pictures,  this may be your best option.

In-person examination will be necessary to give you precise advice.

Best wishes.