Areola Reduction with No Skin Excision--periareolar Subcuticular Purse String Suture? (photo)

Hi gms123, Disharmony between the areola size compared to the breast itself is a common issue. Areola reductions are a common request with and without lifts. I do not personally feel the scarring is that significant. You essentially have a new outer line around your areola and for the first year it may be a bit more apparent. Skin is going to be excised no matter what, without the lift, it will just be a smaller amount of areolar skin. I would recommend meeting with at least one other board certified plastic surgeon to get another opinion on this. Going up in implant size also changes the game. They need to see you in person and do an exam with measurements to give an accurate recommendation. Good luck!

and I personally agree with your surgeon that you should not do anything.  This is not a perfect world and your areolas are more generous than you desire.  But would you like it better if you had a smaller areola with a horrendous scar around them?   My patients would not like that. 

If you do see other doctors and they promise they can achieve what you desire, I caution you and ask that you understand their revision policy should things not work out as you desire so you are not left 'holding the bag' in the end and worse off then what you started with.