What do I need to do surgically in order to have smaller areolas and perkier/fuller breasts? (photos)

I'm 20 with a 1 year old. During pregnancy my nipples and boobs grew. After pregnancy my boobs shrunk but the skin and nipples stayed stretched out. What kind of a thing do you suggest and would I still be able to breast feed in the future?

Doctor Answers (13)

Deflation after breast feeding / breast lift

+1
A breast lift with or without an implant would be a great choice, but the ability to breast feed successfully after such a surgery is in the range of about 50-70%.  This surgery also typically reduces the areola size at the same time.


New Haven Plastic Surgeon
5.0 out of 5 stars 9 reviews

Breast Feeding After a Breast Lift or Reduction

+1
Plastic surgeons are careful not to guarantee the ability to breast feed after any breast surgery, particularly since some women are never able to lactate.  Studies show that after a breast reduction or breast lift, 70% of women are successful in producing breast milk.  If that kind of statistic is good enough odds for you, then you can have a lift now to improve your shape and reduce the size of your areola.  If losing the ability to breast feed would cause you to regret your choice for surgery , then wait until you have completed your family.

Mary Lee Peters, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 80 reviews

Breast feeding after breast surgery

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If being able to breast feed is super important to you, I advise you to wait until you are done childbearing.  In most cases, cosmetic breast surgery does not interfere with breast feeding but there are no guarantees.

Also, if you have breast surgery now, it is impossible to predict how your breasts will look after another child or two.  Once you are done with childbearing, your breasts will no longer be a moving target.

Lisa L. Sowder, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 40 reviews

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Breast lift to decrease areola size

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Based on your photos, I would recommend a breast implant combined with a breast lift.  The breast lift will decrease the diamater of your areola and create a nicer breast shape. The breast implant will give you more fullness to the upper part of the breast and restore some of the volume that was lost due to the pregnancy.
Consult with an experienced plastic surgeon for a complete evaluation.

Best wishes,

Dr.Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 134 reviews

Large areolas and excess skin after pregnancy. How to get smaller areolas and perkier breasts.

+1
The sag and stretch post pregnancy and breast feeding can definetely be improved.  The perkiness can come with a combination of placing an implant behind the breast and lifting the nipple/areola to a higher position, while reducing its size.  The trade off is the breast lift scars, but these are easily overlooked with time as the improved shape and perkiness outweigh the scars.

Most augmentation lifts cut few if any breast ducts.  So, breast feeding can usually still happen later. 

One can also just perform a breast lift/areola reduction procedure and wait to put the implant in after you are done having children.

Scott Haupt, MD
Salt Lake City Plastic Surgeon

What do I need to do surgically in order to have smaller areolas and perkier/fuller breasts?

+1
Best to seek ONLY IN PERSON opinions from boarded PSs in your city/state. My over the internet recommendation is a lift + implants + areolar reduction operation... 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 61 reviews

Breast lift with breast implants best option for perky your breast was smaller areola

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Thank you for your question.  From your photographs it appears that a breast lift plus breast implants will lift  the breast and and fullness and would allow for a reduction of your areola diameter.

Be aware that there is a possibility that the breast lift may interfere with her ability to nurse in future pregnancies.  If this is important to you I would finish having children before considering breast lift surgery.

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 26 reviews

Breast lift

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Thank you for the pictures.


I believe that you would make a great candidate for breast lift with implants.

Dr. Campos

Jaime Campos Leon, MD
Mexico Plastic Surgeon
4.5 out of 5 stars 137 reviews

Post Partum Breast Involution

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Thank you for sharing your photos.  You are not alone.  The majority of women also experience some degree of post partum breast involution following breast feeding.  Your options are two fold.  

If you just want to tighten the skin envelope and reduce the areola size, then a vertical mastopexy would nicely reshape your breasts.

If you would like to add volume back to the breasts, then an augmentation with a breast lift would benefit you.

Visit a well respected Plastic Surgeon for their opinion.  And, if they have Vectra 3D imaging, you can preview the above two options to see which you prefer.

Gilbert Lee, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 10 reviews

Large nipples

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Larger boiled after pregnancy is common.  They can be reduced with a periareolar mastopexy.  This would result in a smaller nipple which is still functional.  The only way to add more volume is through an augmentation.

Chad K. Wheeler, MD
Spokane Plastic Surgeon
5.0 out of 5 stars 20 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.