Looking to get a breast lift and define areola? What would the surgery cost? And can you be awake while having surgery? (photo)

Doctor Answers 13

Looking to get a breast lift and define areola? What would the surgery cost? And can you be awake while having surgery?

Thank you for your question.  A breast lift and possible partial reduction can improve breast shape and position and reduce the size of your areola.  In my experience this operation cannot be done under local anesthesia with you awake.


I appreciate your question.

I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster. The size would depend on the proportion with your body versus going for a cup size.

It takes 6 weeks to heal and I wait 12 months before any scar revision.

I have done this awake since we numb the breast for the liposuction. 

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.


Best of luck!


Dr. Schwartz

Board Certified Plastic Surgeon



Jaime S. Schwartz, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 91 reviews

Breast Lift

Thank you for your question.  The cost of this surgery can vary from office to office.  I do think that is an appropriate surgery for you based on your photo.  I would suggest having an in person consultation with a board certified plastic surgeon to get an exam and quote.  Most plastic surgeons offer free consultations.  I would not recommend doing such a procedure under local anasthesia.

Best of luck,

Dr. Hisham Seify

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 19 reviews

About $ 7500 under general anesthesia

Awake surgery is generally not a good idea. Breast lift when done right by a qualified team of surgeon and anesthesiologist costs around $ 7500 

Vasdev Rai, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 23 reviews

Breast Lift

I think that a Breast Lift with areolar reduction is the right operation for you.  I also think that you have to discuss the form of anesthesia with your Board Certified Plastic Surgeon.  Good luck with your decision!

Saira Saini, MD
Fayetteville Plastic Surgeon
4.3 out of 5 stars 6 reviews

Breast lift

You can achieve good results with a breast lift and areolar reduction. Although it can be done without general anesthesia, most surgeons are unlikely to do so with this particular operation as you will not be very comfortable during the procedure with any kind of awake anesthesia.

Matthias Solomon, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 13 reviews

Looking to get a breast lift and define areola? What would the surgery cost?

Thank you for the question and picture. Based on your photograph, you seem to be a good candidate for breast lifting surgery.  The areola size is usually decreased during this procedure.

When it comes to cost of surgery, there may be many “variables” involved. The specific surgeon's credentials/experience level (or lack thereof), the specific geographic area you are looking at, the different operations available, the location of the procedure ( quality of surgery facility), type/quality of anesthesia provider… are some of the potential variables involved. You will find average costs of surgery listed on this website, and on individual plastic surgeon's websites as well.


In regards to outcome of the planned procedure, more important than costs of the procedures will be careful selection of your plastic surgeon. I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons. Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. ***Ask to SEE lots of examples of their work AND preferably speak/see patients who have had similar procedures done. Be very careful with your decision-making. You will find, while doing your due diligence, that there are many different “specialties” who will offer their services to you; again, I strongly recommend you concentrate on surgeons certified by the American Board of Plastic Surgery.  

 In my opinion, this procedure is best done under general anesthesia which provides for patient safety, comfort, and immobility. I prefer to do this procedure in a fully accredited outpatient surgery facility with anesthesia provided by  Board-certified anesthesiologists.

You may find the attached link, dedicated to breast lifting surgery concerns, helpful to you as you learn more. Best wishes. 

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Looking to get a breast lift and define areola?

These are very common procedures and have excellent results. When a patient asks if they can be done under local anesthesia my answer is probably but not in our practice. We use board certified anesthesiologists and general anesthesia which is extremely safe and very easy on the patient. I see one consultant has recommended a spinal anesthesia. I hope that was a typo as a spinal to get anesthesia that high can be dangerous. 

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 27 reviews

Lift and reduction is a good option

Thanks for your question and the photo. I think you would do well with a lift and reduction in the areolar diameter. This procedure is best done with general anesthesia. Best of Luck!

M. Scott Haydon, MD
Austin Plastic Surgeon
4.8 out of 5 stars 90 reviews

Breast lift

Breast lift can be done with or without implants, during this procedures the areola are diminished, regularly this procedure is done by spinal anesthesia which means patient can be awake or mildly sedated, the procedre cost can vary from 3,000 -3,600. 

Best regards

Kemil Issa, MD
Dominican Republic Plastic Surgeon
5.0 out of 5 stars 12 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.