Why do areolas look strangely shaped after breast reduction?

During breast reduction surgery a round mould is used to cut out the nipple-areolar complex. Once the excess breast tissue is removed the skin is sutured to the nipple-areolar complex. This is done under tension. It is this tension which gives the initial oval shape to the areolar. Overtime, the tension relaxes allowing the areolar to assume a rounded shape.

I am sure your surgeon cut round shapes, but breast weight can pull the round areolae into ovals. The ovals will not go back to round shapes. However, this can be fixed. Please go back to your surgeon and discuss your concerns.

Surgeons may use a tool that aids them in sizing the areola during surgery. This ensures symmetry between breasts. During healing the tension on the sutures may cause the areola to be shaped or sized differently between breasts. As healing continues this often corrects. If after complete healing you still have concerns you can consider a revision.