Droopy, small, large areola boobs, 19 years old, can I achieve my wish pics? What are the risks? (photos)

Question

My breasts have always been a source of insecurity for me. Ever since I developed, my boobs have been droopy and my areola has been getting larger. I would like to know what possible procedure(s) I could undergo to achieve my goals: 1. Volume and cleavage (I’m willing to get silicone implants) 2. Small areola 3. No more droopiness I’ve attached pictures of my breasts alongside my “wish” pics. I’d also like to know the risks of undergoing surgery at 19. Thank you.

Donald R. Revis Jr, MD · Answer

Good morning!I think you can achieve that size and look with a donut mastopexy, under the muscle augmentation, High Profile silicone gel implants in the 400-500cc range.

Darren Smith, MD, FACS · Answer

Hi Brianna, thank you for your question. I think you are a very good candidate for a breast augmentation with a "circumareolar" breast lift.  The implants would give you the volume and cleavage improvement that you are looking for. The breast lift would address the "droopiness". A "circumareolar" approach to a breast lift (in which the lift is done using an incision around your areola only) would address your areola size.

Daniel Barrett, MD · Answer

Hi Brianna__,
  
Determining whether you need simply a breast implant versus a breast lift or both can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. 
  
Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just breast augmentation depending on the size of the implant the patient wants. I often use an implant when I perform a breast lift because it provides more upper breast fullness after the lift. 
  
These two surgeries can be done at the same time and this may be optimal as the risks can be minimized.  
  
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, it is actually breast tissue that is being brought together to support the breast and hence improves longevity. 
  
In addition, upper pole fullness is achieved with appropriate implant selection but more importantly, submuscular placement, and precise pocket dissection. The submuscular placement allows the muscle to cover the top part of the implant which allows the upper pole to appear fuller. Keeping away from the lateral chest during pocket dissection allows the implant to remain higher and prevents it from falling off to the side.
  
You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals. 
  
Daniel Barrett, MD, MHA, MS
  
Certified, American Board of Plastic Surgery
  
Member, American Society of Plastic Surgery
  
Member, American Society of Aesthetic Plastic Surgery

Christopher D. Knotts, MD, FACS · Answer

Hi there. I think you can probably get close to your wish pics, with the understanding that making your areolas that small is going to be at odds with making the volume of the breast that large. You might consider somewhere in the middle where you have an increase in volume and/or not have areolas as small as the photos you provided. It is really part of the conversation you would have with your board-certified plastic surgeon during a formal consult. Hope that helps!CDK

Nora Nugent, FRCSI (Plast) · Answer

Dear Brianna,
Thank you for posting your question and photographs. Going by what you have said and your photographs, a breast augmentation with a cicumareoalar lift  (and areaolar reduction) may be the best procedure for you. I would not advise going for too large an implant as that puts more of a long term stretch on your tissues but a moderate sized implant in a style that suits your breast tissues may give you a very nice look. 
In terms of undergoing surgery age 19, if your health is good then then the risks are low. However, two things to consider at 19 are; Firstly if you have breast implants placed at 19, you will need further surgery at some point in the future. The implants willl need to be changed and with age, pregnancy and weight changes, your breasts may change over the implants too. Secondly some types of breast lift can affect breast feeding so please consider this as well and discuss wiht your plastic surgeon if you dicide to have a breast lift. 
I would suggest that you see a board certified plastic surgeon for a full assessment. They can go over implant sizing and styles, breast lifts and arealar reductions with you as well.
I hope this is helpful.
Best wishes

Droopy, small, large areola boobs, 19 years old, can I achieve my wish pics? What are the risks? (photos)

Answers (10)

Answer: Droopy, small, large areola boobs, 19 years old, can I achieve my wish pics?

Answer: Droopy, small, large areola boobs, 19 years old, can I achieve my wish pics?

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Answer: Drooping, small breasts - Breast lift and augmentation

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Droopy, small, large areola boobs, 19 years old, can I achieve my wish pics? What are the risks? (photos)

Answers (10)

Answer: Droopy, small, large areola boobs, 19 years old, can I achieve my wish pics?

Answer: Droopy, small, large areola boobs, 19 years old, can I achieve my wish pics?

Answer: Drooping, small breasts - Breast lift and augmentation

Answer: Drooping, small breasts - Breast lift and augmentation

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Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.