What can I say to help surgeon understand how important perkiness & smaller areolas are to me?

You can show some wish pics to your surgeon to illustrate your goal, as well as re-state exactly what you said here in your question. However, please note that while your surgeon will do what they can to achieve your expectations, there may be limits on how high your nipple placement can be depending on several factors, such as your body and surgical technique.

Hello @Ejsss, Thank you for your question. When discussing your goals, why you would like to have surgery, you should be clear in communicating your desired results. Depending on the specialist surgical technique that is used for breast lift and repositioning mammary tissue and nipple, there may be different approaches to achieving what you are looking for. For example, in breast lifts, I always perform this surgery with the BraLift technique, which allows me to give a really adequate aesthetic result. Best wishes! Alan Gonzalez MD. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).