I want breast implants, but not scars from a lift, would larger implants & areola reduction be enough? (Photos)

Based on your pictures, you should be able to do a breast augmentation with a breast lift around the areola only ("donut" lift). That would provide better symmetry between each side in terms of nipple position. It appears that one breast is larger than the other as well, so using different sized implants may be needed as well. The best thing to do is to have a consultation with a board-certified plastic surgeon and see what is recommended. I hope this helps.

You will need a breast lift with an anchor type scar pattern to obtain any adequate long-lasting results. Areolar reduction surgery alone with an implant will create a very widened and flattened looking nipple-areola complex.

Hi Creative,
Thanks for your good question which has gotten some varied responses. I think this shows that there are different approaches. The one that is right for you is one that you have discussed with a board-certified plastic surgeon who has given you appropriate expectations of what the different procedures will entail. If increased volume and limited scars are the biggest priority, an implant alone will likely get you where you need to be. If scarring is a major concern I would advise against any areolar reduction. Long term the areolar scars are often the most noticable even in the best surgeon's hands.
Scars from various versions of a lift are very managable and typically very well tolerated. So if your surgeon truly recommends a lift based on their exam and your desires, this is something to seriously consider.
Best,
Nicholas Wingate, MD, ASPS Member, Board Certified Plastic Surgeon