Overly large areolas after gynecomastia surgery. Would another revision help? (Photo)

Surgery can definitely be performed to adjust the size of the areaolas to fit your new physique.  I can not seesigns of keloids, but in my patients who are prone to keloid, we schedule a light dose of radiation to the scar.It is possible to have another revision and get a good result.  Best wishes with your personal goals.

Sounds like two separate issues.  The enlarged areola can be treated with repeat procedure and modern techniques to limit the stretch of the areola.  If there is concern for hypertrophic or keloid formation, which I can't detect from your pictures, then that can be addressed at the time of revision, possibly with steroid injection.  It has been a year since your last procedure and I wouldn't anticipate the scar to mature much more than at present. All the best.

An areola reduction is possible using a permanent suture around the border upon final closure. Good luck with your surgery.

It is possible to reduce the size of the areola., and hold from spreading wit "pinwheel suture" technique.however, you had keloids as you mentioned, but I do not see keloids. If you are a keloid former, are you willing to take the risk of keloid after revisional surgery?