Areola reduction with revision - is a lift necessary? (Photo)

Unfortunately,
you have not provided a side photograph but your areolas are large and need to
be reduced. However, I would not
recommend larger implants since your breasts appear large and the additional
increase will lead to more drooping and require revision in the future. The areolas can be reduced using a
circumareola incision. Best Wishes,Gary Horndeski, M.D.

The areolae can be reduced, and the implant size can be increased.  An exam will be necessary to determine whether there is capsular contracture present.Try to research this to find the surgeon who consistently produces the
results you would expect. Look at reviews on this site and see who gets the surgery right every time. Find

a board certified plastic surgeon who performs hundreds of breast
augmentations and breast augmentation revisions each year. Then look at
the plastic surgeon's
website before and after photo galleries to get a sense of who can
deliver the results. Kenneth Hughes, MDLos Angeles, CA

Hello,Agreed with Dr. Rand, your breast on the side with the grey cable is already looking 'ball in sock', whether that's due to contracture, unpredictable tissue stretch, or insufficient tissue coverage due to 'subfacial' implant placement cannot be determined.  My recommendation, especially if you are contemplating a larger implant, is to replace with silicone gel under the pectoralis muscle. This will give you as much protection, support, and tissue coverage as possible and reduce the risk for upper pole problems or capsular contracture.  A breast lift may be necessary but cannot be determined without physical examination.Your desire to pinch pennies now will come back to haunt you later if you choose ever larger, saline implants in this essentially subglandular position.  Larger, saline and high profile implants have the greatest negative effects on your tissues over a long period of time. Eventually tissue stretch and thinning will lead to deformity, malposition and severe rippling. Any or all of these issue may not be completely fixed, even with expensive surgical revisions using the latest in acellular dermal matrices. Best of luck!

Based on your picture, the shape of your breasts looks good.  I don't think you need a breast lift.  An areola reduction would take a little bit longer to do than simply switching out your implants and would therefore probably cost more.  It would also result in a scar that goes all the way around your areola.  The areola reduction is essentially the same technique we use to do the periareolar (aka, Benelli or donut) breast lift so, if you wanted to lift your areola slightly, that could be done as well.

Thank you for the picture.I do suggest for you to have an areola reduction in order for them to be the same size, I suggest a lolly pop incision, this way you won't have any larger scars.Dr. Campos