Hello and thank you for your question.Your question can
not be answered definitively without an in person consultation. For people who
have mild to moderate skin laxity and very little excess I tend to employ Smart
Lipo for the breasts. I remove the breast tissue/fat and achieve some skin tightening
with the laser. I recommend that you see a board certified plastic surgeon in
consultation to get more specific answers to your questions which can best be
addressed after a thorough history and examination is performed.
Best of luck to you!
Do you like your areolas that large?
If so, then the scarring could be a detriment to having skin excised. If you want smaller areolas, a procedure for gynecomastia will be needed and some of the excess skin could be removed then BUT risks for scarring will still remain and you have to be accepting of it.