My breast is saggy and grows downwards. My areolas are also huge and I want them small

If you would like to decrease the sagginess of your breasts, a breast lift may be suitable for you. This procedure would reshape your breasts to make them perkier, so they won’t look like they’re “growing downward". At the same time, an areola reduction can be performed.

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

If you were pleased with the volume of your breast, but are simply unhappy with the position of your breast, then a breast lift would be best. The lift will reposition your nipple/areola upward, to the level it should be, which is above the level of the fold under your breast.. Your areolar are large, and some of the areolar color may remain on either side of the lifts vertical incision line. A detailed consultation with your plastic surgeon could help you understand this. If you feel that your breasts are too large, and also in the incorrect position, a breast reduction could be done. The reduction is done through the same pattern incision as a breast lift and in addition to making your breasts smaller, will also lift them to a better position. A detail consultation with a plastic surgeon will help you understand your options more completely. Best wishes.