Typically during a breast lift, the areola(s) are cut based on an exact template (ie, like a cookie cutter). Therefore, each areola is exactly the same size as the other. However, other factors can come into play, especially early on after a breast lift: depending on difference in breast sizes, amount of skin that has to be resected, differences in pre-op nipple position, etc... these can all affect how much "pull" is on the areola and they can look uneven for a while. On rare occasion, this difference may persist, but it is rarely of much significance to notice. Good luck! Matthew Concannon MD
