AFG w/ areolar reduction possible? Currently B, would like C, symmetry, less scars, unsure on implants, desire natural (Photo)

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Hello @Exciting580931 thank you for your question and showing your pictures. In some cases, tuberous breasts may present extremes or mild cases of constricted breast tissue. Instead of having a round dome shape, the breasts are shaped like ice cream swirls with narrower shapes. Variable circumferential constriction of soft tissue fibers. Full release of these fibers would change the swirl into more of a dome and would improve matters. This can be better achieve with a breast implant augmentation. With breast fat transfer or autologous fat lipoinjection the results will be natural and will not increase the volume of your breast for more than one size. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS

You are referring to getting a benelli lift where the incisions are around the areolae only.. you risk a wide thick scar and your areola stretching out. You're better off having nothing done instead of that type of procedure that has a terrible track record

Dear Exciting580931,
tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

To make your areolae smaller, you will have a scar around them. You could achieve about a cup increase in size with a fat transfer if you want.

You have tuberous breast qualities with large areolas, low placement of the areolas on the breast and a contracted lower pole. Many of these issues may be addressed with breast augmentation and a periareolar lift (PA). True that the PA lift has less scarring (no vertical component), it is restricted in the height of the nipple areola lift and the potential for widening or thickening of the PA scar. I do both the PA and lollipop scars routinely depending on the anatomy requirement and of course, patient requests. You may have either done as long as you understand the post op risks.
Best wishes.
Dr. Taranow

Fat transfer can make your breast larger but will not change the shape of your breasts.

Adding a vertical scar stabilizes the areola reduction and helps create a lift with minimizing the chance of the scar widening overtime.

Relying on a permanent suture to hold the incision for the rest of your life puts you at risk for eventually having the areolas widen with wide scars.

Doing a proper lift with implants is your best option. Limiting scarring limits the quality of the lift with all the drawbacks of the areola only lift(flat areola, widening scar and areola with time).

You may be able to do only implants but that will not reduce the areola.

In the end choosing the right plastic surgeon and following their recommendations is your best choice. To do that I suggest multiple in person consultations.

Mats Hagstrom, MD