Wanting more symmetry with right breast. Would areola reduction be enough or would I need lift/aug? Happy with size. (Photo)

Based on the photograph, it may help with the appearance of symmetry. Achieving symmetry in breast appearance depends on your specific situation. Areola reduction can help with symmetry if the size or shape of your areolas is a concern. However, if there’s a significant difference in the position, volume, or sagging of your breasts, you may need a breast lift, augmentation, or a combination of both. Consulting with a board-certified plastic surgeon is essential to determine the best approach based on your individual needs and goals.

Your symmetry would be improved, albeit not perfect, with an areolar reduction. Most would find the improvement adequate and allow you to avoid more extensive surgery. If you are happy with your size, there is no justifiable reason to add implants.

You could just try the areolar reduction on the one side to see if you are happy with those results. There would still be a small difference between the two breasts, but most people would not even notice it.