Different sized areolas post unilateral breast reduction

Areolae can shrink and expand. However, this can be fixed. Please go back to your surgeon and discuss your concerns.

Breast and areola asymmetry following unilateral breast reduction is a common concern for many women who have undergone this procedure. While breast reduction surgery aims to improve breast symmetry and proportion, it's important to understand that achieving perfect symmetry is not always possible.

In your particular case are you overall more symmetric in terms of your breast volume, breast shape, and nipple position?
When repositioning the nipple, a smaller areola is most often created. There are a range of sizes so you and your surgeon have some choice, but depending on the size you started with, a smaller size more likely. In a bilateral procedure the smaller areola is in most cases more aesthetic. Unfortunately when only one breast is operated on, this can result in areola assymetry.

The good news is that the areola size of your smaller breast can be made smaller, and repositioned if needed to further improve your symmetry. Some changes in breast shape can also be achieved if needed.
Make sure you discuss this with a board certified plastic surgeon and take the time to make sure all your questions are answered before proceeding.

I'm sorry to hear about your experience with significant differences in areola size and shape following your unilateral breast reduction with a lift. It's understandable that you're feeling concerned and confused about why this occurred.
While breast asymmetry is common and often addressed through breast reduction surgery, achieving symmetry in areola size and shape can be more challenging. Areola size and shape can be influenced by various factors, including the amount of breast tissue removed, the extent of the lift, and individual variations in tissue elasticity and healing.
During breast surgery, surgeons typically aim to create as much symmetry as possible between the breasts, including the size and shape of the areolas. However, achieving perfect symmetry is not always possible, particularly when starting with significant differences in breast size and shape.
It's important to discuss your concerns with your surgeon to understand why this outcome occurred and what options may be available for addressing it. Depending on the extent of the asymmetry and your goals, potential solutions may include additional surgical revisions, areola tattooing to improve symmetry, or other non-surgical techniques.
Your surgeon can assess your individual situation and work with you to develop a plan to address your concerns and achieve the best possible outcome. Open communication and collaboration with your healthcare team are key to finding a solution that meets your needs and helps you feel more comfortable and confident in your appearance.