Breast Lift Without Incisions Around Areola?

Thank you for the question.

All forms of breast lifting involves some amount of skin excision.   The skin excision serves to “tighten up” the breast skin envelope. How much skin needs to be removed will depend on each specific patient's situation. In other words, some patients require more “lifting”  and have the need for additional incisions. Generally, these incisions range from around the areola, vertical breast incisions, and transverse incisions (“anchor”).
Most patients (If properly selected and who are doing the operations and the right time of their lives) accept the scars associated with breast augmentation/breast lifting surgery as long as they are happy with the improvement in contour, size, and symmetry. This acceptance of the scars is the essential “trade-off” associated with many of the procedures we do and the field of plastic surgery.
I hope this helps.

Many types of breast lifts have been attempted over the years.  Taking skin from the sides or the armpit area, as you suggest,  will distort the location of your nipple-areolar complex and leave an unnatural shape.  I have occasionally performed  an "intra-areolar lift" with the scar hidden at the base of the nipple.  This procedure can decrease an overly large areola and give a tiny bit of lift, but most breasts in need of a lift require more skin removal.  The more skin that is removed, the more the scarring.  The tradeoff should be a good one for you in order to choose the procedure.  An in person consultation might help you look at possible choices for yourself.