I am uncomfortable & embarrassed of my breasts b/c of my big aereolas, and I would like my nipples to be higher up. Im wondering if I need just aerola reduction, or if I need a lift and/or implant too. What do you think? The first 2 photos are me, and the last 2 photos are what I want my breats to look like (natural). What do I need to do to get to my goal breasts? Thank you!!
Large Areolas and Droopy Nipples. What Breast Surgery Do I Need?
Doctor Answers (21)
Breast Lift or Not?
It is common to compare ourselves to others, as you are doing.
Your two photos do not suggest that you are as "bad" as you feel.
I would advise giving surgery plenty of thought as any areolar or other type of breast lift will create scars that you may end up being more unhappy with.
Dear Hanna G,
I will begin by telling you that what you perceive as a source of embarrassment - ie. your areola, are not that unusual or large. I would suggest you think long and hard before pursuing surgery, as the scars from any suggested surgeries may result in poorer cosmesis.
Nonetheless, if you really wanted to have surgery, an areolar reduction with a peri-areolar mastopexy technique could be used. The downside of this technique is that it may make your breast appear more boxy. In addition, the scar around your areola may widen with time.
Speak with one or two experienced plastic surgeons in your area and go over the pros and cons of all proposed procedures. Think about it long and hard - I think your breasts are better off without any intervention at this time.
Asif Pirani, MD, FRCS(C)
From what you write in your note the size you want to be is similar to where you are now so simply doing a donut mastopexy to make your arelar complexes smaller is all that may be needed.
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Breast Lift with Areolar Reduction
Hello and thank you for the question.
In review of your photographs and given consideration of your desired results, I would offer you a vertical mastopexy ( lolli-pop scar breast lift). This will afford you both a breast lift for the moderate ptosis, which your breasts have as well an areolar reduction to a size that is better proportioned to your breasts. I recommend you consult with a Board Certified Plastic Surgeon who has ample experience in breast rejuvenation surgery.
Best of luck,
Glenn Vallecillos, M.D., F.A.C.S.
Web reference: http://www.BeverlyHillsCosmeticSurgeon.com
Areola reduction, breast lift, or augmentation?
Web reference: Http://www.elpasoplasticsurgery.com
A breast lift will address both your concerns
A breast lift procedure lifts droopy nipples (and droopy breasts) and it also allows for the reduction of your areolas.
Based on the pictures of your desired results, you already have the volume and you do not need to add breast implants.
What is important to realize is that although you can lift your nipples and make them smaller, your surgeon will have to work with your existing breasts instead of creating brand new ones to replicate the ones you showed us you like.
A Donut Mastopexy Can Help Correct Large Areolas, However, It Does Leave Scarring
It’s not unusual for women to have concerns about the aesthetics of their breasts. These concerns may vary from patient to patient. What bothers one patient may not necessarily bother another patient.
In your case, you feel that your areolas are larger than they should be. Although your areolas are slightly larger then average, they would still be considered to be in the normal range.
Correction of large areolas can be accomplished with a variety of procedures. The most commonly performed procedure is the donut mastopexy. Unfortunately, this operation leaves a scar at the junction between the areola and the surrounding skin. Occasionally this scar can spread and become extremely noticeable. Every surgical procedure has trade offs, in this case a larger areola verses the potential for significant scarring.
In my experience most patients would be more bothered by significant peri-areolar scarring, then your current areola size. These are questions that only you can answer. If you are considering surgical correction of your areola size it would be appropriate to consult a board certified plastic surgeon.
Large Areolas and Droopy Nipples. What Breast Surgery Do I Need
In reviewing your photographs I would think that you only need mastopexy at this time. However, if you are dissatisfied with your volume as well then you would need bilateral implants.
Web reference: http://www.drvitenas.com/breast-augmentation.html
Breast lift with or without breast implants
Based on your photos, it appears you have adequate volume but would like to improve your shape, nipple position and areola size. This can all be achieved with a vertical mastopexy (lollipop incision). I would only recommend breast implants if you desired to be a larger cup size.
I recommend being examined by a board certified plastic surgeon for a more detailed surgical plan. I feel you should have a good result.
Web reference: http://www.williambrunomd.com
Improve the soft tissue envelope first, it might be all you need
If the last two photos represent your aesthetic ideals with respect to nipple position and volume, I would suggest that you stage the mastopexy (breast lift) first. The first two photos suggest that y our left breast is slightly larger and the nipple-areolar complex is lower. A circumvertical lift technique, in which the diameter of the nipple-areolar complex is reduced, the breast tissue volume is balanced and the areolas moved to a higher position would mandate scars around the areolar and vertically down to the inframammary fold. It is a trade off but one which might give you better symmetry. As your breasts change with age, pregnancy, lactation, etc. you may consider implants, but the procedure will be simplified because the soft tissue envelope doesn't add another variable to be controlled. Good luck.
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.
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