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?
Are my areolas too big/can I fix them? (photo)
Doctor Answers 17
There are options.
Breast lift with areola reduction is a good option for saggy breasts with large areola
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.
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.
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Three options available to you
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.
Concerns over areola and laxity
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.
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.
Is it Possible to Have a Reduction in Areola Size
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.
Simple areola reduction
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
Thank you for your photo. The size of your areolas can be reduced and equalized with surgery. This would be a perioareolar lift.
Are my areolas too big/can I fix them?
You could opt for an areolar reduction with a breast lift if you are so inclined. This is really a personal decision.
Kenneth Hughes, MD
Los Angeles, CA
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.