I hate my saggy breast and huge areolas. Opinions? (photos)

Question

I am 24 years old with two children. I breastfed my first for 2 years and I am now breastfeeding my 8 month old ! My breast are extremely saggy and my areolas are the size of my hand ( literally ) and my nipple sticks out a substantial amount. Thing is they have been like this my whole life, just before the kids I had knots or whatever they are called and they looked a tad bit fuller. In a few years i want surgery but asking on here now to get opinions. Thank you.

Gary M. Horndeski, MD · Answer

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. The areolas can be reduced to the size you desire.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. The lollipop or vertical mastopexy is best for patients with moderate ptosis who require several centimeters of nipple narrowing and “coning” to reshape the breast tissue. This technique uses an incision around the nipple-areolar complex (similar to the periareolar incision) as well as an incision extending from the bottom of the nipple to inframammary fold. This incision allows more access to the breast tissue itself, a greater amount of reshape, and removal of a greater amount of skin to produce a high, firm, sexy breast

Harry T. Haramis, MD, FACS · Answer

Breast lift will reduce areolae and reverse sagging. Implants will restore upper fullness.

You should be evaluated by a plastic surgeon after you’ve finished breast feeding and breasts have stabilized.

Daniel Barrett, MD · Answer

Dear Resourceful407833,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

You are a good candidate for a standard breast lift with maybe a slight reduction. You areolae will be reduced at the same time. Do not get implants. You don’t need them and they could really complicate things.

Connie Hiers, MD, FACS · Answer

You would do well with a lift or even a small reduction. Your areolae could be made smaller and your nipples could be trimmed down as well. I would suggest meeting with a board certified plastic surgeon and discussing your concerns and options.

Robert Singer, MD · Answer

Based on your photos but without an examination, you appear to be anatomically a good candidate for eventually having a breast lift which would also diminish the width of your areolae. It is generally recommended that you wait a minimum 3 months after finishing breast feeding.

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person and be very realistic about your potential cosmetic result.