What can be done about this fat roll underneath my breast after a reduction? (photos)

Dear hslla,I would suggest you to wait for at least 4-6 months after the surgery to see the final results. There is a chance that it will go away without any intervention. However, if it stays then a liposuction or surgical removal might be an option. If you are concerned, you can always consult your plastic surgeon.Daniel Barrett, MD, MHA, MSCertified, American Board of Plastic Surgery Member, Am. Society of Plastic Surgery 

Hello,
The skin excess in the vertical vector was insufficiently addressed with this lift; vertical lifts primarily address horizontal vectored skin excess.  Additionally, you have excess areola skin. An ABPS certified/ASAPS member surgeon who specializes in revision breast surgery will be able to address both issues once you have fully healed, approximately 6 months. This will require circumferential re-excision of the areolar perimeter and converting to an anchor incision. Best of luck!

This may represent residual skin.  Often this small area goes away and I would give it about 6 months or so. If it doesn't, you can always trim is out.