Breasts too perky to reduce! What can be done? (photo)

Hello,
Please visit a few ABPS certified/ASAPS member surgeons who specialize in breast surgery.  Although your nipple position is relatively high, a properly performed surgery will give you a beautiful and smaller breast without symmastia. Best of luck!

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. See the below link on some suggestions on finding the most qualified Plastic Surgeon for a BBL Always insist on a board certified plastic surgeon.

I think you have very clearly told your surgeon that your breasts aren't perfect for you.  Though other women may ask for breasts of your size and shape, they are large for your frame.  I don't think your closely-spaced breasts are the reason they haven't sagged and I think it's very reasonable for you to consider breast reduction.  The surgery would have to be planned to remove much less skin than is done in most breast reduction surgery, which I think would minimize any tension on the skin of the center of your chest and avoid an unnatural shape that could be considered a uniboob.  I suggest seeking a second opinion.

Thank you for you question and photos,         The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars.  The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc).  It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. Best wishes and kind regards, Dr. Gary Horndeski

Hello,I do think you have breasts that many patients would like to have and doing a reduction will leave you with scars so it is important to consider the trade-offs. However, you should be able to have this surgery without the symmastia that you mentioned. It is likely a good idea to get a few in-person consults to fully evaluate your options. All the best,Dr. BlaggAustin, TX