Periareolar mastopexy and implants. Areola scars 13 days post op. Will the scars smooth out in a perfect areola shape? (Photo)

Your doctor did a nice job on this procedure.  The tight suturing is to keep the areolae from stretching, and although it might appear to look funky at first, this will help ensure a good scar and and nice areolar shape down the line. The periareolar method for advanced lifting does require patience on the recipient's part.. These results are an evolving process. Every week you will notice improvement, and more frequent doctor-patient interaction is often necessary.  All you see is the periareolar scar and thus you will focus on every aspect of healing in this small area.  For surgeons who stage their lifts and augmentation it can be easier with scar issues, but I believe most patients can have a satisfactory outcome when the procedures are combined. For difficult breast shapes, extreme cases of sagging, and when the patient also wishes moderate enlargement, the results may not be ideal, and thus a secondary snuging, lifting, and implant exchange may be in the picture at 1-3 years.  When you do everything at one sitting there may be little tradeoffs for a perfect result. The revision or enhancement of this result can be within the circle of the scar so that no vertical or anchor lift needs to be done. While those methods can handle all problem lifts and reductions, many patients still find all that scarring offensive.  Even when done brilliantly, about 18% of patients will experience less than ideal total scarring.  If the shape is the issue with a periareolar approach, and if the patient is willing and financially able, any revision can make things look even better.  The two-stage approach is another way to get there but I agree with combining both surgeries.

Thank you for your question and photos and it is way to early to judge your areola scarring so stop worrying.  Address your concerns to your surgeon thoughDr Corbin