Can I get a breast reduction without areola reduction? (Photo)

Hi ,
The aim of a breast reduction will be to produce the breast cup size the patient desires and the areolar diameter that patient desires, and have it located on the apex of the breast mound. Various requests for cup size and areolar diameter are possible and this is your choice. 
Discuss your desired outcome with your surgeon prior to surgery and it should be achievable
All the best
Jeremy Hunt

Your areolar diameter doesn't really have to change much unless you want it to with a breast reduction. In many instances patient's desire that as the pigmented skin stretches over time. Typically an areolar diameter ends up being 38-45cm following surgery and are cut with a metal marker ("cookie cutter) or done freehand. If you have concerns over that, it's not a big deal to modify your marking design and adapt the procedure.

Thanks for posting your questions and photograph.  You appear to be an excellent candidate for breast reduction surgery to lift your breasts back up your chest wall and address your asymmetry.  Complications can occur with any surgery which is why its important to select a plastic surgeon with extensive experience in breast reduction surgery. Nipple loss is very rare.  Its normal to experience some decrease or change in sensation after surgery as the nerves are disturbed during the procedure.  These changes will tend to improve over 6 months or so as bruised nerves recover but most patients are left with some mild sensory change which varies from person to person. You can have a breast reduction without an areola reduction but the usual recommendation would be to come down to about 4.5cm diameter and this carries no additional risk.  In the hands of an experienced surgeon, you will achieve an excellent result. By far, the patients undergoing breast reduction in my practice, are amongst the happiest.

Thank you for the question and picture. Based on the photograph alone, you seem to be an excellent candidate for breast reduction surgery; this operation tends to be one of the most patient pleasing operations we perform.

When a breast reduction procedure is performed the breasts are "lifted" on the patient's chest wall (and reduced in breast size as well). Because the breasts are elevated on the patient's chest wall, the nipple/areola complexes are also moved superiorly. This requires an incision around the areola;  in your case a significant reduction of the areola is not necessarily mandatory.  Montgomery glands are not "necessary" glands (although they do provide some lubrication...);  you will not miss them if a few are removed during the procedure.

Key to success: select your plastic surgeon carefully and communicate your goals carefully as well. Again, in my opinion, the use of as many visual aids as possible is helpful. I hope this, and the attached link, helps.

Hi, thanks for sharing your concern and photos with us!
First I want to congratulate you for making this important decision. Deciding to get an aesthetic procedure to change your body and get a new life style is a big step!

Looking at your photos I might say that you´ll be a great candidate to get a breast reduction because you have enough tissue to reshape to reduce and lift it. its always necessary to make a peri areolar reduction to preform this procedure. Before all this, of course, you need to get a complete medical evaluation and laboratory exams to check everything is fine. For us your safety, always, is going to be first.

Have a great day!

Dr. JPG