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

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!

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.   

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.

Your
areolas are too big and your breasts are sagging too low. You would benefit from a new technique called
The Ultimate Breast LiftTM.
This technique uses a circumareola incision and inframammary incision to
reshape your breast tissue creating upper pole fullness, elevate them higher on
the chest wall and more medial to increase your cleavage. Aligning the areola and breast tissue over
the bony prominence of the chest wall maximizes anterior projection without
implants. This technique avoids to ugly
vertical scars of the traditional technique, maintains nipple sensation and the
ability to breast feed. The areolas can
be adjusted to the size you desire. This
procedure takes 4 hours and costs approximately $10,000.Best Wishes,Gary Horndeski, M.D.

Your photos do indicate that your areolae are somewhat enraged, and there are several options for you. You can have them reduced as a standalone procedure or part of a breast lift either with or without implants. In either event, reducing them does email scars and you need to determine if the scars are worthwhile for you. Go on a few consults with some plastic surgeos and ask hem to show you photos of other omen similar to you.