Wanting breast augmentation; do I need my areolas reduced? (Photos)

Question

F, 26 yrs old, no kids. My breasts have always been more cone shaped with larger, puffy areolas. I don't like the look of scars from areola reduction but I am afraid my areolas will only get bigger once I have kids. What do you think? Do my nipples sit too low? I've attached pictures of my desired look. What would it take to achieve that?

Camille Cash, MD · Answer

From the photos submitted you should consider a lift with implants to get you closer to your wish pics.  The puffiness of the areola is typically from herniated breast tissue which can be addressed during the procedure.  The best place to begin is a consultation with a board certified plastic surgeon near you to learn more.

Casey Anderson, MD, FACS · Answer

There really isn't a specific indication for areola reduction other than wanting them smaller. This does require a scar. It's tough to predict whose will spread and impossible to predict what will happen with pregnancy.

Irena Karanetz, MD · Answer

Hello,
Thank you for the question. 
Based on your photos, you are excellent candidate for breast augmentation and it can be performed now prior to you having children. Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on your desires, as well as breast and soft tissue dimensions of your chest wall. I also utilize Vectra 3D planning to further help with implant selection. 
Wide nipple areola pre-operatively can become more pronounced after breast implant surgery and one way to address it is to perform donut breast lift which allows to decrease the diameter of the nipple areolar complex.
I would seek an in-person evaluation by the Board-Certified Plastic Surgeon, in order to discuss your goals and concerns for the best cosmetic results. 
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

Kenneth Hughes, MD · Answer

These two surgeries are typically performed together with excellent results. Would recommend that you schedule a consultation with a board certified plastic surgeon who has performed numerous restorative and aesthetic breast surgeries to discuss your options and as well as your concerns.

Gary M. Horndeski, MD · Answer

The technique I recommend is a mini lift.  Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.  At the same time, small implants can be placed totally submuscular.  The areolas can be reduced to the size you desire.

Best Wishes,

Gary Horndeski, M.D.

Wanting breast augmentation; do I need my areolas reduced? (Photos)

Answers (10)

Answer: Wanting breast augmentation; do I need my areolas reduced? (Photos)

Answer: Wanting breast augmentation; do I need my areolas reduced? (Photos)

Answer: Mini Lift with small implants

Answer: Mini Lift with small implants

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Everything you need to know about Breast Reduction

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Wanting breast augmentation; do I need my areolas reduced? (Photos)

Answers (10)

Answer: Wanting breast augmentation; do I need my areolas reduced? (Photos)

Answer: Wanting breast augmentation; do I need my areolas reduced? (Photos)

Answer: Mini Lift with small implants

Answer: Mini Lift with small implants

Browse related questions

Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.