7 months post-op, would a revision with permanent sutures be appropriate? (Photos)

Dear F.Palka,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from revision surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Micro-needling will not remove pigment, but can be helpful on scarring. Your areolae can be revised, and permanent sutures may be needed.

It appears from the submitted photos that you are a candidate for a revision. This would address the asymmetry and shape of the areola. Discoloration can be addressed with scar revision or at times improved with lasers.

Thank you for your question and sorry you're having issues. My recommendation would be for revision surgery. It appears that all of the excess areolar skin was not resected, leaving your resultant areola oblong. In your second picture, it appears that you may have a little scar contracture. This is best corrected by resecting a more round circle of skin. So, my recommendation is for bilateral revision surgery. Micro-needling would be of very little if any benefit