Small boobs - does breast augmentation involve making the areola and nipples small? (Photo)

From your photo, it’s clear that your areolas are disproportionately large compared to the rest of your breast skin. A breast augmentation alone would likely exaggerate this imbalance, and in many cases, the areolas can appear even larger after implants.

There is a procedure called a periareolar mastopexy (also known as a donut lift) that can reduce areola size. While it has some limitations in how much reduction can be achieved, combining it with breast implants allows for a better overall balance—by increasing the amount of visible breast skin while reducing the areolas, you can create a much better areola/breast balance.

There also appears to be slight breast asymmetry, which can usually be addressed with careful implant size selection on each side.

In summary: Breast augmentation alone may not give you the result you’re hoping for. A combination of a periareolar lift and implants is much more likely to achieve the aesthetic balance you’re looking for.

– Dr. B

Breast augmentation alone does not typically include reducing the size of the areola or nipples. However, if you’re concerned about large areolas or prominent nipples, these can be addressed with a breast lift procedure.
A donut lift (periareolar lift) or lollipop lift (vertical lift) are both effective options that can reshape the breast, lift the nipple to a more youthful position, and reduce the size of the areola at the same time. Based on your concerns and anatomy, combining augmentation with one of these lift techniques may be a great option to achieve the balanced, natural look you're hoping for.
Be sure to consult with a board-certified plastic surgeon to discuss the best surgical plan tailored to your goals.