How can I fix this breast reduction? (Photo)

and if you are willing to further diminish your size (cosmetically), you can have a 're-do' but lesser amounts of tissue will be removed but your shape will be improve and the size of your areola reduced.  Assuming you had a straightforward reduction, you level of scarring is off the chart and you should plan to employ some strategy to help ameliorate it following your next procedure.  Discuss with your surgeon or others whom you have seen and find out what they can do for you.  Ask about retained areola and know your surgeon's revision policy.

I would recommend a re-reduction which revises the scars as well as the shape. Postoperatively we spend a lot of time on scar treatment and use taping for 3 months on every breast case with paper tape and early laser treatment on almost reductions and lifts (facelifts and tummy tucks too)