Why are my breasts so far apart? What can I do to improve them, and can I have my areolas reduced? (Photo)

You are an excellent candidate for a new
technique called Breast Augmentation with Mini Ultimate Breast LiftTM.Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage.Through the same incision, implants can be
placed.Aligning the areola, breast
tissue and implant over the bony prominence of the chest wall maximizes
anterior projection with a minimal size implant.Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision.Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it.Implantation alone will not solve your
problem since the implants have to be centered underneath the areola.Superficial skin excisions using a
circumareola technique will not reposition breast tissue.Best Wishes,Gary Horndeski, M.D.

Thank you for your question. You have a difficult problem where the nipple/areolar complexes are displaced laterally. Any implant placed in the center of the breast will further aggravate this. A circumareolar mastopexy to move the areolas slightly medially at the time of your augmentation will help your breast shape and projection. You appear to have some degree of tuberous breast deformity. Good luck with your surgery and consult with a board certified plastic surgeon.  

You appear to have tuberous breast deformity which can be corrected with an implant and a periareolar lift.  This procedure can help correct the appearance of a very lateral nipple/areola as well as reduce the areolar diameter.