Help with terrible areola scars as a result of breast augmentation! 1 year post op. (photos)

Thank you for your question and photos! After breast augmentation with peri-areolar incision, the scars are typically well hidden around the areola. However, some patients are more prone to scarring than others. It would be best to consult with your board-certified plastic surgeon regarding a potential scar revision, which is often a simple in-office procedure. After the revision, it would be important to begin a scar therapy, such as bioCorneum, to help give you the best result. Good luck!

It's unlikely that your nipple will look normal again unfortunately. You will probably require revision surgery. Another possible option could be to have areola tattooing on the area where the scarring is, if you felt comfortable slightly expanding the size of the areola. If so, you could camouflage the scar colour with the brown area of the areola. 

There are many options for improvement of scars including topical treatments, injections, and non invasive procedures such as laser therapy. Based on your photos alone, I suspect that any improvement achieved from these non surgical methods would be insufficient.  At this point I expect that the recommended procedure would be a surgical scar revision. This is something you should discuss with your surgeon after he or she has had the benefit of physically examining the scars.