Will an Areola Reduction and Implant Perk Up my Breasts? (photo)

Hi, will an Areola reduction and Implant perky up my breast? I’m 24 and my breast are hereditary, but I’m getting them done this year. I have some money saved but trying to figure out what I need done. I want D sized breast with a smaller Areola ( yet still a little larger than average areola) and perky, yet relatively natural looking. Also I want no rippling, so I’m wondering in my case if Silicone is my best option. Please help doctors!

Doctor Answers (31)

Reduction of a huge areola and augmentation

+3

Your areola is very large, and the D-cup implant wil place considerable pressure behind which can cause a relapse as the nipple stretches. If you do expect the nipple to be larger than average at the end you should be alright. We like the idea of the silicone gel implant. Best of luck, Peter Johnson, MD


Chicago Plastic Surgeon
4.0 out of 5 stars 28 reviews

Areolar reduction as breast lift

+2

As others have said, your plan is well thought through and will work nicely.  Things you might also consider are:

1. Your areola may well re stretch if you have a largish implant because it will be under some tension on the closure.  It can be useful to reduce it a second time ( an office procedure) 6 months after the main procedure if this is necessary.

2. Consider tattooing of the scar at the areolar border once the scar has settled.  It can make the areola look nice and round, and will "paint out" the visible scar. This works very well when your areola are pigmented.

Very good luck with it.

 

 

Howard Webster, MBBS, FRACS
Melbourne Plastic Surgeon
5.0 out of 5 stars 53 reviews

Areola Reduction and Gel Implants

+1

You have thoughtfully considered your options, and the thought of an areola reduction and gel implants makes sense. Confirm through consultation and exam with 3 - 4 experienced and expert board certified plastic surgeons.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 16 reviews

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Perky breasts

+1

 

The photos you have posted show a breast with a very large areola with some components of a tuberous breast.  Surgery on this type of breast will require a more experienced surgeon for the best result.   By reducing the areola and placing a moderate sized silicone implant under the muscle, you should be able to achieve an enhanced, natural looking silhouette.

 

George John Alexander, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 15 reviews

Areola reduction plus implant to perk up breasts

+1

Hi,

You are the perfect candidate for a peri-areolar lift with sub-pectoral silicone gel implants. I've done many of these and as long as the implant is not too heavy and a permanent stitch is placed around the areola to keep it from re-stretching-you should not have a problem. However, since you have a significant amount of 'low lying' breast tissue, internal repositioning of that tissue needs to be accomplished to avoid the 'double bubble' phenomenon. This can easily be done by applying the Ultimate Breast technique. Kuddos to you for doing your research before commiting to an elective procedure! Best wishes,

Dr. H

Gary M. Horndeski, MD
Texas Plastic Surgeon
5.0 out of 5 stars 123 reviews

Areolar Reduction and Implants

+1

Hello,

Yes, some form of areolar reduction as part of a breast lift, and breast implants should give you a pleasing result. Silicone gel implants are also recommended for minimizing potential rippling.  As you have already been advised, you should see a surgeon certified by the American Board of Plastic Surgery and who is also a member of the American Society for Aesthetic Plastic Surgery. During that consultation alternatives, risks, and benefits of various aspects of the procedures will be discussed.

I would like to address what two other doctors mentioned in their responses to you regarding placement of the implant. As we move into the 21st century, cosmetic plastic surgery education is employing more evidence based medicine to create practice guidelines.  Although data is limited regarding the 'best breast lift', there is a lot of data regarding breast implants. Specifically, the lowest risk of complications occurs with implants placed under the pectoralis muscle.  Althought there are potential problems associated with this, they are significantly less frequent than problems regularly seen with subglandular or subfascial placement of implants: implant visibility, implant rippling, and higher rates of capsular contracture.  This is something you can discuss with your surgeon, who is likely to agree with what I said.

Best of luck!

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 28 reviews

Areola Reduction (mastopexy) + Implant should be a nice solution for breasts like your photos demonstrate.

+1

Thanks for your question.  The photos you presented show wide areolas, moderate breast droop, and lack of upper fullness.  There is mild difference between the two.  Your plan sounds reasonable and should give nice improvement.

The areolar mastopexy is also known as a peri-areolar mastopexy or doughnut mastopexy.  It is effective at reducing the areolar diameter and slightly lifting the nipple location.  It is not very effective, alone, at lifting the gland of the breast.  It works well in conjunction with a moderate augmentation.  Without an implant, this procedure tends to flatten the center of the breast.

Breast implants can improve the lack of upper breast fullness and central projection.  Large implants generally stretch the breast, and can interfere with your goal of having smaller areolas.  Consult an experienced, board-certified plastic surgeon to determine the implant type and size that will work best for you.  More info at ExpertPlasticSurgeon.com 

Best wishes.

Sutton Graham II, MD
Greenville Plastic Surgeon
4.5 out of 5 stars 2 reviews

Areolar Reduction and Implants for Perk Up

+1

You have an enlarged areola and a proturberant breast shape, so a circumareolar areola reduction (essentially a variation of a Binelli breast lift) woulld work well for you. Although the Binelli type lift tends to flatten the breast, since your breast has a somewhat tuberous shape this should work well for you. Adding an implant will make your breast look perkier (more fullness in the upper breast). Remember though that the larger the implant, the more tension on the incision and at a certain point it will tend to stretch out your areola again. A permanent suture around your areola can help, but these sometimes become exposed and need to be removed. Alternatively, you could put in the implant and come back 3-6 months later to have the areolar reduction which is a relatively minor procedure.

You have plenty of breast tissue so you do not need a Silicone implant  to get a nice result. If the implant is placed below the muscle rippling will not be a concern unless you put in a very large implant. So consider saline and save yourself some money and any future concern about a leaking Silicone implant. Also saline implants tend to look perkier than Silicone.  

Braden Stridde, MD
Federal Way Plastic Surgeon
5.0 out of 5 stars 22 reviews

Implant + lift

+1

Hi.  Based on your photos, you have a little bit of a tuberous breast.  Your idea of combining an implant together with a small lift is a good one to improve this.  We commonly do this, with nice results.

 However, the areolar reduction - also called a donut or circumareolar lift - is not a very strong lift, and can only modestly tighten the skin.  It is good for about 1-1.5 inches of lift only.  If you are hoping for more perkiness than that - you may need a different lift design ( e.g. vertical)

All the best!

Thomas Fiala, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 25 reviews

Circumareolar mastopexy and breast augmentation

+1

You would need an areolar reduction as well as a breast augmentation to address your concerns. Silicone gel implants are more natural feeling and the problem of rippling palpable or visible is less frequent. A circumareolar mastopexy will reduce the diameter of the areola but will also decrease its projection.

Miguel A. Yáñez, MD
Charlotte Plastic Surgeon
5.0 out of 5 stars 2 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.