Will an areola reduction give me a lift as well? (Photo)

Question

Trying do decide if I have enough breast tissue to just have a lift done? Or is it possible that just an areola reduction would give me enough lift? Or will I need both lift and implant? Want to keep them as natural as possible

Eric Pugash, MD · Answer

You
do need a breast lift along with augmentation. I suggest you stay away from the
donut, or circumareolar lift. The donut lift should really be called
the 'Do Not' lift - it provides little lift, usually results in enlarged
areolas and often produces ugly scars. The donut lift should be done as rarely
as possible. I nearly always do a vertical, or lollipop breast lift. The anchor
lift should only be done in very droopy breasts; in my very busy breast
practice I do only a couple of anchor lifts a year. I recommend smooth, round,
cohesive silicone gel implants under the muscle. It is important to keep in
mind that the larger the implant, the faster your lift will come down. You need
to be sensible in choosing your implant size. The combined lift and
augmentation is a challenging operation. I advise you to see a very experienced
plastic surgeon with expertise in aesthetic breast procedures. All the best.

Kenneth Hughes, MD · Answer

Hello, thank you for your question and photos. An areola reduction is often a component of a breast lift (mastopexy), If you ae happy with your breast size implants are not necessary. I recommend you to schedule a consultation with a board certified plastic surgeon.

Leila Kasrai, MD, FRCSC · Answer

An areola reduction only removes a small amount of tissue, and it would not achieve a sufficient enough lift for your breasts. However, the procedure can be performed at the same time as a breast lift. Implants aren’t necessary if all you’d like to do is get perkier breasts.

Ronald J. Edelson, MD · Answer

A breast lift and areolar reduction go hand in hand. It is I retry standard to reduced your areola in a case like yours. I would recommend an implant along with the lift. If you don’t have an implant I think you will be surprised how small your breasts will be. Of course there is the option of just having the lift only and getting an implant later if you want it.

George Marosan, MD · Answer

Thank you for your question and photos. The short answer is NO. Your breasts look droopy, deflated and with very large areolar complexes. You would do best with a short scar or lollipop breast lift and augmentation with an implant.See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

Gerald Minniti, MD, FACS · Answer

Your breasts are too droopy and areola too wide for a pure circumareolar reduction. You'll need a formal breast lift. The use of an implant would depend on size and shape goals.

Richard Baxter, MD · Answer

A reduction of the areolas is essentially the same as a Benelli breast lift, but there are limiations on how much reduction can be done without pleating of the skin (also called "bottlecapping" if that helps to visualize it.) Adding volume with implants will help by filling out the skin envelope, so less skin would need to be removed. A vertical (lollipop) lift may be the best option even with implants.

Camille Cash, MD · Answer

From your photos it does not appear that a donut lift will be adequate for you.  I encourage you to visit with a board certified plastic surgeon near you for a consultation.  Here you will discuss your concerns and learn more about options.  I've included a video on lifts that I hope you find helpful.