Not sure what procedure I need to help my breasts (Photo)

Hello, this is tuberous breast deformity, with huge areolas, high inframmarian folds and breasts herniated into the areolas. The correction is a breast lift surgery in your case. As you have good volume, I do not recommend implants. Your own tissues can be used to reconstruct the shape.

Thank you for your query about the best procedure to enhance your breast appearance, accompanied by your pictures and history. Based on the provided information, it's clear that a specific approach is required to address the concerns you've outlined.
Upon analyzing your pictures, it's evident that you have breast asymmetry, with one breast larger than the other, and both breasts are relatively large with enlarged areolas. Given these characteristics, I recommend a bilateral breast lift, also known as mastopexy. The most suitable technique in your case would be the anchor or inverted T mastopexy.
The anchor breast lift involves three key incisions: a 360° incision around the areola, a vertical incision from the areola to the infra-mammary fold, and a horizontal incision beneath the breast. This technique not only lifts the breasts but also allows for the reduction in the size of the areolas. It offers an excellent opportunity to correct the asymmetry, where the larger breast can be resized to match the smaller one.
If there was an interest in increasing breast size or enhancing upper pole fullness, breast implants could be considered. However, based on your current breast size and the nature of the concerns you've expressed, I would not recommend implants in your case.
In summary, an anchor breast lift with bilateral areolar reduction and size adjustment of the larger breast appears to be the most appropriate solution for your needs.
I hope this provides a clear direction regarding the procedures that would best serve your breast enhancement goals.
Good luck, and please do not hesitate to contact me for further advice or clarification.
Sincerely,
Dr. Katzen

Hi from Istanbul. An anchor type breast lift with moderate reduction could be a suitable option to address your concerns. This procedure allows for significant reshaping and size adjustment. However, a detailed consultation with a board-certified (or equivalent) plastic surgeon is essential to determine the best approach for your specific needs. Hope this helps and best luck on your journey.