Is There a Procedure to Lower Areola Post Breast Reduction? How Does It Work? (photo)

After breast reductions, the breasts may "bottom out" over time. When the nipples lie above a sagging breast, the term pseudoptosis is used. This is particularly common if a specific type of reduction is performed (the inferior pedicle technique). In order to correct this problem, the lower breast skin must be excised and the gland may require further reduction (removal of breast tissue). While this may result in smaller breasts, the appearance will be improved and the breasts will have a more natural contour.

This is a difficult problem to correct 

Do not lower the nipple with a scar it will look bad.

Your best bet is to do intra- operative expansion , tissue re-positioning and fixation with dermal graft or mesh

Lowering of the areola and nipple position is very difficult to do. Long term relapse of skin laxity due to breast tissue dissent can make this problem worse.  The best option is to consider a breast lift or slight reduction to reposition the breast tissue in a higher position relative the the nipple/areolar position with internal suspension.  This has the best chance of improving your breast shape, appearance and nipple position relative to the breast mound. Best wishes.