Combining Breast Lift and Areola Reduction?

Thank you for your question,              
The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars.  The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. The areolas are reduced to normal size at the same time.  Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc).  It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. 
Best wishes and kind regards, 
Dr. Gary Horndeski

Yes, breast lift surgery and areola reduction
are performed together fairly often. It is essentially up to the patient’s
discretion whether or not she wants to have the size of the areola reduced, but
it is often recommended to make the breasts look more aesthetically pleasing.
In terms of losing sensation in the areola, while it is possible, you should
not let this slight possibility deter you from this potentially life-altering
surgery. As long as you choose a board certified and experienced surgeon, you
can rest assured that you will most likely regain all sensation. 

It is very common to reduce or correct the #areola during a Breast Lift. In addition to #sagging, women with #asymmetric or enlarged nipples or areolae (pigmented areas around nipples) are also candidates for a breast lift.

When I perform a breast lift I typically decrease the diameter of enlarged areolas. It improves the proportions of the breast to achieve a more ideal shape.  Almost all patients maintain nipple sensation.

         It’s not unusual for
patients with breast sag to request breast lift surgery. A variety of surgical
options exist for managing this condition. The vast majority of these
procedures not only lift the breast, but reduce the areola as well.

 

         In cases of mild
breast sag, the excess skin and sag can be treated with a donut mastopexy. This
procedure removes and tightens the excess skin around the areola. This leaves a
scar at the junction between the areola and surrounding tissue.

 

         In more severe cases
of sag; a lollipop incision can be utilized to deal with the excess skin. This
leaves a circular incision around the areola with a vertical extension that
extends to the infra mammary fold.

 

         When extreme sag is
present, excision of excess skin requires not only a vertical incision, but an
incision transversely in the infra mammary fold as well. This results in a
circular incision around the areola, a vertical incision, and a transverse
incision hidden in the folds beneath the breasts.

 

         The vast majority of
patients who undergo breast lift surgery are happy with their result. Scarring
is unavoidable, but in most cases is acceptable to the patient. Decreased
nipple areola sensation can occur, but is fortunately uncommon.

 

         If you’re
considering breast lift with areola reduction, consultation with a board
certified plastic surgeon is appropriate. This surgeon should be able to help
you formulate a treatment plan that will solve your problem.

There are many types of breast lifts performed and in general the areola reduction is part of any type of breast lift. Breast lifts can involve an incision just around the new small areola, or they can be the lollipop, which goes around the areola and then down the breast, and lastly around the areola, down the breast and then under the breast fold (full lift).

Loss of nipple sensation is higher when an implant is performed with a lift.

The brief answer to your question is yes. They can be done together.
However, therea are many different options for breast lift incisions and the choice depends on the degree of ptosis (sagging).
Depending on the size of the areola certain outcomes may occur which may necessitate the need for a two stage procedure.

Depending on how much sag you have or how large your breast is, the areolar reduction incision can provide all the necessary skin excision to give you a lift without any scars other than that delineating the areola.
My personal opinion is that the "inverted T" (also known as "Wise pattern scar", "anchor" scar) is no longer necessary as there are alternatives that cause less scarring.
Good luck!

The goal of the breast lift is to restore the breast shape and position into a more youthful appearance. When the breast sags, it is usually because there is too much loose skin. In order to remove the loose skin and tighten the breast, incisions need to be made which will allow the extra skin to be removed.
One of these incisions has to go around the actual areola. Since the incision has to go around the areola, it is very easy to reduce the areola size as you do this. Thus, a breast lift almost always allows for an areola reduction to be done at the same time.
All incisions necessarily leave scars. There is no way around this.
There are many nerves that run around the areola. Some get cut during the operation. Because there are so many nerves around the areola, sensation usually remains normal after a breast lift. If the nerves get cut, they usually grow back. You may have some numbness immediately after surgery that improves with time. However, one of the known risks of this surgery is that the nipple and areola may become permanently numb. It doesn't happen in everyone, but it can happen. You should discuss this with your surgeon.

If you have large areolas without much sagging (ptosis) of your breasts, often an areola reduction alone can lift the breasts slightly and give a great appearance. This would involve a scar around the areola only. However, if there is significant sagging of your breasts, a full breast lift would be needed and would reduce the size of the areolas as well. This would involve a circumvertical (lollipop) or Wise (anchor) pattern scar.