Are my areolas too big/can I fix them? (photo)

I'm 19 and constantly disgusted with my breasts, and people say they're fine but I'm self conscious about how large my areolas are. I'm super thin and I've never been heavy, so I'm not sure why they're so huge and why my boobs are so saggy. One is also noticeably larger than the other. They are a lot smaller when my nipples are erect, but I still hate them. Is this something that can be fixed on a college student's budget?

Doctor Answers 19

There are options.

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Thank you for your question.  While your breasts are normal in appearance, I think the most important thing is that you are not comfortable with them and that there are options available to you.  An areolar reduction is one surgical possibility that would help to reduce the size of your areaolas.  You also have some ptosis or droop to the breast, which again is extremely common, and can be corrected with a mastopexy or breast lift to provide you with a perkier and lifted appearance.  For the size asymmetries that you describe, I believe that you might be an excellent candidate as well for a breast lift and breast implants in order to provide you with more fullness and firmness to the breasts and to create better size symmetry between your right and left side.  I would recommend scheduling a consultation appointment with a board-certified plastic surgeon who is well-experienced in these procedures to review your concerns and the options available to you.  Your medical history and specifically your breast size and development history will be an important part of this conversation as well.  Many board-certified plastic surgeons offer complementary consultations and different financing options to help make patients cosmetic goals attainable.  Best of luck!

Areola Reduction Concern

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Having discomfort in your areola or breast size or shape is extremely common. Surgical intervention is always an option. I would recommend you meet with several board certified plastic surgeons to discuss your surgery options. An areola reduction would most likely be done in conjunction with an augmentation or breast lift depending on your desired results and their recommendation. Good luck in your surgical journey.

David Rosenstein, MD
Boynton Beach Plastic Surgeon
5.0 out of 5 stars 17 reviews

Areola Reduction

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It's important to realize that breasts come in all shapes and sizes. Despite this, it's not unusual for women to be dissatisfied with the appearance of their breasts. In your case, your pictures demonstrate enlarged areolas, breast sag and breast asymmetry. All of these problems can be addressed simultaneously with a mastopexy procedure.

If you're considering correction of this problem, consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and aesthetic goals.

Breast lift with areola reduction is a good option for saggy breasts with large areola

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Thank you for your question. Your breasts are perfectly normal however I do see the large areola and sagging that bothers you.

A combination of breast lift with areola reduction and possibly small breast implants is a good option to correct the problems that are bothering you. Be sure to consult a plastic surgeon who is certified by the American Board of Plastic Surgery, experienced in cosmetic breast surgery, and who has an excellent reputation in your community.

There is hope, it can be "fixed"

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A breast lift and implants (augmentation mastopexy) can be performed to reduce the diameter of your areolae to a smaller size and at the same time lift your breasts as well as making them a bit fuller/perkier. It appears that you may be a candidate for a "donut" or circumareolar only circular scar to minimize visible scarring.   

David J. Levens, MD
Coral Springs Plastic Surgeon
5.0 out of 5 stars 79 reviews

Three options available to you

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You have some options here if you dislike the appearance of your breasts:

areola reduction to reduce the size of your areolas
breast lift to reshape your breasts and make them perkier
breast reduction in the larger breasts to correct size asymmetry, or breast augmentation to increase the size of the smaller breast which will also correct size asymmetry.

Ronald Levine, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 25 reviews

Concerns over areola and laxity

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You can certainly benefit from reducing your areola and with your 'droop' would suggest a mastopexy at the same time so that your chest would better match your age. Understand the benefits are not permanent and will degrade over time and if you should get pregnant. As for the budget, you may have to ask the surgeon if their office finances or if you can make some other arrangements. It is also possible your procedure could be done in the office under local which would save your considerably.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Areola reduction

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Thank you for your question.

I suggest an areola reduction to make them smaller and rounder, I also suggest tyhe placement of a small implant to enhance your breast size and have a more natural look.

Jaime Campos Leon, MD
Mexico Plastic Surgeon
4.4 out of 5 stars 257 reviews

Is it Possible to Have a Reduction in Areola Size

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If you are unhappy with the size of your areola and your breast shape, it is absolutely possible to make a change. That does not mean that your breasts "abnormal," only that you would like them to be different. Make sure you select a surgeon certified by the American Board of Plastic Surgery and a member of the American Society of Plastic Surgeons.

Mary Lee Peters, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 117 reviews

Simple areola reduction

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The most important part is that you are not comfortable with the size of your areola. That can definitely be fixed with a simple reduction of the diameter to a 3.5 to 4 cm wide areola. This will leave a scar around it and will also achieve some lift of the breast

Allan Ceballos, MD
Mexico Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.