28k breasts and want to breastfeed in the future. Is a lift with areola reduction compatible with future breastfeeding? (Photos)

Thanks for your question. The effect that a breast lift with areola involvement might have on your ability to breastfeed in the future is not 100% predictable. However, a breast lift alone —even with areolar reduction — does not disconnect the nipple from the ducts or breast tissue. It should still be possible to breastfeed after a breast lift as typically performed. Your surgeon's skill also has a lot to do with preserving the function of your breasts. In some cases, a modified technique may be used to improve the odds. However, as with anything in medicine, there's no guarantee.

Most people who have a breast lift have no effect on the breast feeding ability, but this is not a guarantee, and even without breast lifting not all women are able to breast feed.  If you are nervous about this, it's best not to have any surgery at all, to see if you have the ability to breast feed at all.

The breast lift with augmentation does not have to alter the size of the areolae. For the vast majority of breast augmentation patients, the ability to breastfeed is not lost.  For the lift, I typically start with the smallest incision and custom tailor each breast lift to the shortest scar possible.
Search Real Self for board certified plastic surgeons who perform hundreds of breast augmentation procedures each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results you are seeking.
Kenneth Hughes, MD, Board Certified Plastic Surgeon, Los Angeles, CA

It is hard to predict how successful a patient might be to breast feed even if they do not have a breast reduction. Certainly with the decreased volume of gland, your ability to solely breast feed without supplementation will be diminished. 

Thank you for the question. Based on your description you may be an excellent candidate for breast reduction surgery.   However, much more information is needed to determine whether you should proceed with surgery, and if so when (timing).  In my practice, I individualize the “timing” of surgery based on a lot of information that is transmitted during the consultation process.Loss or diminished ability to breast-feed is a known risk of all types of breast surgery.  It is difficult to quantify the risk associated with breast reduction surgery; much will depend on exactly what technique is utilized and how much breast tissue is removed.  There  are measures that your plastic surgeon can take to preserve relevant breast tissue.  Overall, the majority of patients who undergo breast reduction surgery will be able to breast-feed.
Ultimately, timing to proceed with breast reduction surgery will be a personal decision that only you can make after careful consideration of pros/cons associated with pre and post-pregnancy options.
Best wishes.