I'm 18, would a breast reduction or lift make my breasts more perky? (photos)

Hello and thank you for the question.  Based on your photos I think a breast lift would give your breasts a 'perkier' look.  With a breast lift, the areolas are reduced in size and lifted up to a better position on the breasts.  Please see a board certified plastic surgeon for a consultation to learn all of your options.  Good luck!Sincerely,Dr. Michelle Spring

Thanks for your questions and posting your pics. Based on what I see, you have a mild case of what we call tuberous breasts which causes the areola to protrude, and usually also includes asymmetry issues. A breast lift w/ a small reduction of the larger left breast can get the shape of both breasts more "perkier" and reduce the size of the areolas and get you more even breasts.