Areola size and severe grade 3 ptosis? (Photo)

A properly-performed breast lift only removes an ounce or very slightly more skin, preserving the remaining breast volume (size) in a tightened and lifted skin brassiere. Surgeons who remove breast tissue to replace it with implants are misguided, IMHO. They have apparently been taught that removing breast tissue and then replacing it with implants designed to mimic breast tissue in feel and consistency somehow magically gives more upper pole fullness, or makes a breast lift last longer.Implants add volume, or more size, and a tiny set of risks associated with breast implants. So unless you want larger breasts, you do not "NEED" to have tissue removed and implants placed. You would want implants if your present breast size (minus that ounce or so of excess breast skin per side) is less than your final goal. Bigger CAN be achieved at the time of full breast lift, but only if you don't ask for too much!And yes, your areola size can be preserved, though areolas generally stretch after breast lift, and even more so after breast lift plus implants. Within reason, however, you and your surgeon can decide on the size of  areolas that are best for you.If you desire a "look" that is high, round, and "fake" then you should consider a good push-up bra after your surgery. Implants add size, not roundness (unless, of course, you develop capsular contracture--you really don't want this), so if you like your breast size now, find an ABPS-certified plastic surgeon who can remove only skin, preserve your areola size as desired, and lift what you already have into its new position. Then get cute bras for the look you want! Best wishes! Dr. Tholen

The breasts may lose their
elasticity and firmness which can be caused by different factors such as
pregnancy, massive weight loss, lactation and aging. To reaffirm the breasts
and restore the natural look your surgeon can perform a mastopexy or breast
lift. A breast lift restores a firmer, perkier, and more
aesthetically pleasing shape to sagging breasts. This not only can improve
a patient’s appearance by restoring her youthful, feminine proportions,
but also help bras and swimsuits fit more comfortably and attractively. By
removing excess, stretched out skin, reshaping the breast tissue, and raising
the nipple & areola into a more forward position, a cosmetic surgeon can create
a more youthful breast contour. Stretched, large areolae can also be
reduced during breast lift surgery, creating an overall better proportioned,
natural looking breast, Actually the perkiness on a person or another, depends
on patients skin and breast tissuefor the first 3 to 4
months 

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). 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. The options are up to you, and your best bet is to find a local surgeon, schedule a consultation, and discuss all of your options and potential results. Best of luck to you!