Low and large areolas pointing outwards, loose skin on cleavage making breasts fall to the side, pointy breasts.

The result you are looking for, according to the pictures you provided, will require a combination of a small breast augmentation with some type of a lift or at least an areolar reduction. Several maneuvers can be done to keep your results looking very natural: small implant, silicone, medium profile, and dual plane placement. An areolar reduction will both reduce the size of your areola and eliminate the “pointy” appearance of your breasts. Additionally, a lift can be done if you wish your nipple position to be substantially elevated.  Obviously, a consultation with an expert in more complicated breast augmentation surgery is necessary in order to formulate a specific surgical plan for you. I hope this was helpful!Thomas Taylor, MD, FACS

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon