Donut lift scarring, 3 years post op. Do I have options? (photo)

Thank you for your question.
Based on the photos you provided, you may be a candidate for a scar revision. The scar would be surgically excised and re-sutured. However, you should keep in mind that some aspects of scar healing is genetic, so this may not completely change the result. I recommend speaking with a board certified plastic surgeon to discuss your options.

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Widening of the areolar scar following a doughnut mastopexy is not uncommon
I would recommend revision with an internal absorbable mesh support and possibly fat grafting