Unhappy with current implants. Want smaller, perky implants and an areola reduction - it this possible? (photos)

You can go down in size and have a full lift. The areolar lift will not work for you. Going smaller will have less wait and less risk of future sagging.

From the description of your goals you can consider an implant exchange for smaller implants and a breast lift revision. This will remove excess skin as well as lift the position of the breast and nipple, and downsize the areola. See a board certified plastic surgeon near you for a consultation to learn more.

Hello and thank you for your question!In my opinion, yes, you are a great candidate for an implant exchange and revision breast mastopexy. Typically, depending on how much smaller your desired implants/cup size are, the surgeon may have to do extra work on the capsule layer (implant pocket) to tighten it appropriately to better fit the new smaller implants. The areola can be reduced and moved up, along with having the remaining breast skin and tissues tightened through a Wise pattern (anchor incision) on each breast. Your best option is to have an in-person consultation with a board certified plastic surgeon who can do a physical exam, point out where the incisions and answer your specific questions, goals and concerns. Good luck on your journey!