30F, what procedure should I get to have smaller areola? (Photos)

Based on your goals, I would recommend a breast lift (mastopexy) which would result in a lifted breast with a higher position and reduced size of your nipple-areola. To achieve this, you would need wise-pattern (or anchor) incisions. If you generally like the size of your breasts (ie, do you like they look in clothing in a supportive bra), then you may only need a breast lift/mastopexy (versus a reduction). For these patients, I do a tissue sparing technique, which essentially an auto-augmentation, conserving all of your breast tissue, but lifting the overall breast and bringing the nipple-areola to a higher, more aesthetic position. I typically use an absorbable mesh with this procedure to create an internal support bra and maintain the results over time. Hope this helps. Best of luck with your aesthetic journey!

Reducing the areolar diameters will provide a slight lift, but not as much as you are demonstrating on your photo. Also, with the large size of your breasts and the extent that you would like to reduce the areolas, there is a high likelihood that you will have widening of your scars. I would suggest you consider a more standard type of breast lift.

You have a difficult situation with an enlarged areola because the lift that gives the absolute best shape would involve a modification of a
wise patttern which would include some of the areola. A circumareolar lift would be better but don't expect as much of a 'lift' or 'perky shape'. When pushed too far the circum-areolar lift can flatten the breast. Your final descision will depend on a conversation with a surgeon with a lot of experience, and imaging on a computer would be helpful.

I would recommend an anchor-pattern style breast lift with slight volume reduction. This will help reduce the areolar and overall breast size while also contouring shape.

Thank you for your question. Areola reduction can reduce the size of the areolas; however, to achieve a lifted breast appearance—especially with larger 30F breasts—a breast lift is often necessary. This procedure elevates the breasts to a more youthful position and creates a firmer, more aesthetically pleasing contour. I recommend consulting with a surgeon to discuss your goals and concerns. They can provide personalized advice on how to achieve smaller areolas and a lifted appearance while maintaining the shape and roundness of your breasts.

A breast lift/reduction will help not only in your areola diameter, but help with symmetry, shape and proportion. I properly performed mastopexy can result in a very nice shape and will help meet your expectations. There will be the standard "anchor" scar. Generally speaking, the satisfaction rate is high with these procedures. Definitely avoid a peri-areolar, donut lift or areola reduction surgery as there are problems with these procedures . . .

For achieving a smaller areola and a lifted appearance, here’s what you need to consider:
Areola Reduction: An areola reduction can indeed make the areola appear smaller and can sometimes give a more lifted look. However, if the breast skin has lost elasticity or there is sagging, areola reduction alone may not fully address the lift you desire.
Breast Size and Stretching: With a larger breast size like 30F, there is potential for skin stretching, especially if the tissue is heavy. This can lead to issues with skin laxity and breast shape over time.
Preventing Stretching: To minimize stretching, maintaining skin elasticity is key. Proper skin care and possibly incorporating fat grafting to add volume can help. Ensuring that the breast tissue is well-supported post-surgery can also prevent excessive stretching.
Need for a Lift: If the areola reduction alone doesn’t achieve the desired lift or if there is significant sagging, a breast lift might still be necessary. However, there are various lift techniques, and some may preserve the breast’s shape and roundness better than others.
Consultation: Discuss your concerns with a surgeon who has experience with areola reduction and lift techniques. They can provide a detailed plan that aligns with your aesthetic goals and help you explore options that minimize shape distortion.

Hello, my name is Dr. Burko and I am a Plastic Surgeon at SY Aesthetics in NYC.
Depending on your goals and expectations, you have a couple different options.

1. You can do an areola reduction with a circumareolar breast lift. This can reduce the size of your areola and tighten the skin around it. The downside of this procedure is that it can only tighten the breast a minimal amount and the areola can again widen after surgery.

2. You can do a lollipop breast lift. This will create a scar around your areola and a line straight down. This allows for a more aggressive skin tightening of the breast.

3. You can do a wise pattern (anchor scar) breast lift. This will create a scar around your areola, a line straight down, and a line across the fold of your breast. This allows for the most aggressive skin tightening and reshaping.

It all depends on your goals and expectations. I recommend you discuss this with your plastic surgeon at the time of your consultation.

Thank you for your inquiry! Based on your stated desire, it sounds like you need a breast lift with an areolar reduction. Schedule a consult with a Board Certified Plastic Surgery to help you reach your desired goals.

The excess areola can be removed, and the surrounding skin will be gathered and tucked using a buried permanent suture. This prevents dilation of the areola. Expect a mild lift, and the only scar is around the areolas. Overall you need to balance in your mind the benefit of the areolar reduction on an overall attractive breast, knowing that there will be scar if the areola is reduced. Currently you have natural looking breasts, with larger than desired areolas. Generally this scar fades and is not noticeable in the long term.