I'm 23 years old, 5'2", 125lb, 30DD bra. What are my options for a breast lift, areola reduction, and axillary removal? (photos)

Hi, I think a breast lift is your beast option; it solves your lower nipple/areola position and can reduce the size of your areolas at the same time.  We're so much better at how we do surgery then in prior years but unfortunately breast lifts do require trading lower breast position and larger areolas for scars that should heal into nice thin scars.  There are no-scar breast lift treatments from InMode but I think you are hoping for more change than that technique can offer.  
As I mentioned we are better at surgical techniques and nipple sensation change is rarely an issue- but that's not 100%.  The nerves do come into the nipple/areola from inside the breast so more superficial breastlift techniques should not change your nipple sensation.  The reason why I said it's not 100% because not every breast is the same with identical anatomy; your nerves could be different.  The risk of nipple sensation change should be almost zero but you can never guarantee that. Adding a little liposuction to the axillary area and bra roll area can easily be done for fat.  In you age group, skin tightening with either radiofrequency, laser or other methods can be considered.  True breast tissue near the axilla may need to be excised formally  Best Wishes!!! 

Thank you for your question.   From your photos it looks like you would be a very good candidate for a breast lift, likely a vertical lift, with a lollipop shaped incision.  With this the areola can be reduced in size.  The axillary incision can be handled by either liposuction or a short excision.  Check in with a board certified plastic surgeon and best of luck!  Dr. Romanelli

The technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  The areolas can be reduced to the size you desire.  Best Wishes,Gary Horndeski, M.D.

Hello, thank you for your question. It seems like you can benefit from a breast lift, I recommend you to schedule a consultation with a board certified plastic surgeon for proper evaluation.

Implants do no lifting and only give volume and size. A breast lift is needed when the nipple and areola are at a level beneath the crease or fold under your breast.This appears to be the case in the picture you posted.  Ask your surgeon if they use the published I.D.E.A.L breast lift approach. With this approach the implant is placed first; then all stretched tissues are stapled together. This lets the surgeon see the final result in one step BEFORE any incisions are made. This technique safely removes the maximum amount of extra skin, giving the maximum lift. I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I do this with my patients, we then look at pictures of women with similar measurements. My patients tell me that this process is very helpful in determining what is right for them. Sensation loss is rare.
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author       
RealSelf Distinguished Hall of Fame Inductee

Dear kth212,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Breast lift will elevate them, reduce and reposition areolae. Vaser ultrasound liposuction will remove axillary tissue.Scars are a trade off, but should fade nicely. Also, safe design will maintain nipple sensitivity.An exam and consultation with a plastic surgeon is recommended to confirm this as well as discuss your options and expectations. We are also offering virtual consultations.

Hi, thank you for sharing your question. 
You are a great candidate for a breast lift. If you are happy with your current volume, this procedure will bring your breasts to a high position, lift and reduce your areolas and look like your goal picture. 
Consult with a board certified plastic surgeon to review all your options. I hope this helps. Best of luck!

Without examining you it is difficult to be certain but based on the photos it looks like you would get a great result from a lollipop lift with liposuction to the axillary breast tissue. The only way to know for sure is to book a consultation with a board certified plastic surgeon near you to see what your options are. Best of luck!  

Thank you for your question. You will benefit from a breast lift with a small reduction if you want it. Your breasts will sit higher on your chest wall as a result of this procedure. They will also be rounder and more perky after the procedure. Virtual consultations are available for you!