Would I be a candidate for areola reduction without a lift or augmentation? (Photos)

Question

Would prefer to avoid the lollipop or anchor scar if possible.

Wayne I. Yamahata, MD · Answer

An areolar reduction would be a reasonable procedure if you goal is to reduce the diameters. If your goals are to achieve substantial lift, there are better alternatives.

Chet Mays, MD · Answer

Greetings!
Please feel free to reach out to our office to schedule a virtual/in-person consultation to discuss your breast goals.
Mays Plastic Surgery

Daniel Barrett, MD · Answer

Dear Thenaa,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gerald Minniti, MD, FACS · Answer

Even for only the purpose of areolar reduction, as opposed to for breast lifting, circumareolar reduction (or mastopexy, same procedure) is really only good for one candidate: a small, deflated, non-sagging breast that's getting an implant too. Your breasts are full and sagging. In people like you, you get a myriad of unwanted complications including: re-expansion of the areola, irregular shaped areola, thickened scarring around the areola, pleating, flattening of the breast mound, and persistent breast sagging.  Whether you want your breast lifted or just smaller areola, your only true choice is a vertical or anchor. The reality is you will have a beautiful shaped breast, fine scars, proper nipple areolar complex position on the mound, and minimal sagging with the correct surgery. That all translates into a breast you will like and know is attractive, giving you confidence. The scars are likely to become inconspicuous in a short time.

Tek Przylecki, MD, FACS · Answer

Thank you for your question. Areola reduction procedure can be performed independently of a breast lift. If all you are looking for is to decrease the size of your areola, this can be performed with a resultant scar around the areolar without the anchor or vertical (lollipop) components. I recommend that you seek consultation with a board certified plastic surgeon. Best if luck on your journey!

Steve Laverson, MD, FACS · Answer

YES, you can have the areola diameter reduced in size to a smaller circle and have a modest breast lift under local anesthesia with scar hidden in the obscurity of your areola margin (no scar on breast skin).  No loss of sensation or capacity for nursing (breast feeding).  Some result pix on our feelbeautiful.com gallery.

Ronald J. Edelson, MD · Answer

A lollipop lift with implants is your best option. If you don’t want this done you are better off doing nothing at all. An areolar reduction will not be worth the scars and not work very well

Connie Hiers, MD, FACS · Answer

With or without implants, you need the vertical scar. The areolar lift is limited in what it can do and can change the shape of the areolae over time. Most enlarge.

Camille Cash, MD · Answer

Based on the photos an areola reduction alone would not be the best recommendation.  It would downsize the areola but would not really lift the breast.  There is a chance the areola would stretch again, leaving the surgery pointless.  I encourage you to visit with a board certified plastic surgeon near you to learn more about your options.

Darryl J. Blinski, MD · Answer

Based on your posted photos and not desiring the lift and a reduction of your nipple areolar can be performed under local anesthesia with IV sedation fee $5000. Best of virtual consult with.

Would I be a candidate for areola reduction without a lift or augmentation? (Photos)

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