Congratulations on your significant weight loss! It's common for breasts to sag and areolas to enlarge after weight changes, and it's understandable that you want to address these concerns. Yes, it is possible to lift your breasts (mastopexy) and reduce the size of your areolas in one surgery. This combined procedure is frequently done to achieve a more youthful and proportionate appearance. Here are some points to consider: Mastopexy (Breast Lift): This procedure will lift and reshape your breasts, removing excess skin and tightening the surrounding tissue to support the new breast contour. Areola Reduction: During the mastopexy, the size of your areolas can be reduced by removing a circular piece of tissue around the perimeter of the areola and suturing the remaining skin. Minimizing Scarring: The type of incision used can influence the extent of scarring. Here are some common options: Periareolar Incision: This involves a circular incision around the areola, which can be used for minor lifts and areola reduction.Vertical Incision (Lollipop Lift): This includes a circular incision around the areola and a vertical incision down to the breast crease, which provides more lift.Anchor Incision (Inverted-T): This includes a circular incision around the areola, a vertical incision down to the breast crease, and a horizontal incision along the breast crease. This is used for more significant lifting and reshaping.Post-Operative Care: Following your surgeon's aftercare instructions is crucial for minimizing scarring. This can include using silicone sheets, scar creams, and avoiding activities that might strain the incision sites. Choosing the Right Surgeon: Selecting a board-certified plastic surgeon with experience in breast surgeries is essential for achieving the best results with minimal scarring. They can provide personalized advice based on your anatomy and goals. Discuss your concerns and desired outcomes with your surgeon to determine the best surgical plan for you. They will be able to explain the benefits and potential risks associated with each incision type and help you make an informed decision.