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.

You have no reason to be self conscious.  Your areola do appear larger than average, but that doesn't mean you should be embarrassed or self conscious.  Breasts come in a variety of shapes and sizes.  If you want to reduce your areola size, there are simple surgical techniques to do this.Best,

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.

Thank you for your photo. The size of your areolas can be reduced and equalized with surgery. This would be a perioareolar lift. Dr. ES

You could opt for an areolar reduction with a breast lift if you are so inclined. This is really a personal decision. Kenneth Hughes, MDLos Angeles, CA

I generally discourage women from having incisions on the breasts, unless they are undergoing breast lift or reduction procedures for large/drooping breasts. This isparticularly true for women who have not yet had children.There are a wide variety of areolar sizes and a wide variety of breasts that are aesthetically pleasing. Nonetheless, the ideal areolar diameter is around 4cm across.An areolar reduction is very rarely, if ever, performed in isolation. The areolae are commonly reduced, however, during the breast lift procedure (mastopexy). In your case, the areolae could be made smaller and the larger breast could be slightly reduced in size. The technique for this would involve using a buried permanent Gore-Tex suture in a "purse string" or donut fashion to "sinch" down the diameter of the nipple after removing some areolar skin. The larger breast could be treated with liposuction alone to match the size.This technique would leave scars on your breast, likely in a circular (around the nipple) or perhaps short vertical (lollipop) pattern. While unlikely, the permanent (Gore-Tex) suture could become infected or exposed through the skin.While it may be far into the future, pregnancy and breast feeding will further change your breasts. The ideal time for breast lift and areolar reduction surgery is after breastfeeding.Be patient with yourself and realize that: 1. breasts are sisters and not twins2. there is a wide range of beautiful breasts

Thank you for your question. Your breasts look completely normal, though as you say they do have slightly wider areolas. This is still well within the normal range and nothing to be ashamed about. I also do see that they are slightly ptotic, or "saggy", which is clearly bothersome to you. The good news is that both of these things can be addressed with breast surgery. You could either choose to have been lifted with an areolar reduction with or without an implant, depending on what you would like to preserve your size or go up in size. You would be a great candidate for both of those procedures.
-David Mattos, New York plastic surgical group