Thank you for your question and photo. Sometimes, if your areola before surgery was large, it is difficult to remove all of the pigmentation at the time of the lift. If this occurs, your plastic surgeon should discuss this with you. If the pigmentation is areolar pigmented tissue, it can be removed with a simple revision procedure in most cases. Signs of areolar pigment are the color, texture, glandular elements, and other unique features of areolar skin compared to just hyperpigmentation.Your doctor can also treat you with medication to fade hyperpigmentation if it is present. I would revisit your doctor to see if bleaching agents (hydroquinone-based) will be helpful. These bleaching agents will only lighten hyperpigmentation, not natural areolar pigmentation.Hope this helps! Dr. Bresnick