Can I get a Breast lift and achieve symmetry? My goal is symmetrical perky B cup breasts with small areolas. (photos)

A breast lift will definitely improve your shape and help you achieve better symmetry. Because operated tissue tends to stretch differently over time than non-operated tissue, I usually advise lifting both breasts, but utilizing an asymmetric lifting pattern which in your case would lift your left breast more than your right. Areolae reduction is part of the procedure.You should also remember that absolute breast symmetry is not always attainable. Your breast can certainly be much more similar in size, shape, and areolae dimensions, but many times, differences in the underlying ribcage affect the final breast shape preventing absolute symmetry.

Breasts are often asymmetric. They can be lifted differently.  One side can be reduced or the breasts can have different size implants or different amounts of fat added to improve symmetry.A mastopexy or breast lift operation is designed to improve the shape and position of the breast without reducing their size. It is used for breasts which sag or droop (ptosis). Sagging of the breasts may occur with normal development for some women, or as part of the aging process. Pregnancy, breast-feeding and weight loss are other conditions which increase breast ptosis. Some patients will have a better shape to their breast such as increased superior fullness if an implant is used at the time of mastopexy. The procedure can also be combined with a minor breast reduction to reduce the breast width if desired. The surgery will create an elevated, more youthful breast contour. Also, the procedure will create nipple and areolae of the desired size and at the correct height.

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. See the below link on some suggestions on finding the most qualified Plastic Surgeon for a mastopexy