Female with large areola and saggy boobs (age 23)

If I got implants would this help with the sagging and size of my areola? What kind of procedures would I need to get perky full breast? I want bigger firmer more round shaped breast. I wanted to know if simply getting implants would help with everything. And do surgeons usually bundle and reduce prices if I need more than one type of procedure. 


F, 26, Tennessee

Hi.  If your breasts sag and you have large areolae, you may need a breast lift and augmentation to fix both.  If you send pictures, I might be able to give you a more specific answer.  If these need to be done together, most surgeons bundle them to reduce the price of doing both separately.  Best to meet with some surgeons to get an in-person evaluation and consultation, so that you can get a better idea of what your options are.  Best of luck!

You mentioned a few issues you need help with: Sagging breasts, areola size, breast shape and breast size.

A breast lift can aesthetically improve the overall shape of your breasts, as well as the height, location and direction of the nipple. Depending on the degree of sagging and flattening, getting just a breast lift can make a significant improvement to the contour and position of your breasts. But a lift will not add additional volume.

Breast implants, on the other hand, can dramatically increase overall breast size and volume, and be performed in conjunction with a breast lift.

Areola size reduction is also possible and can be performed at the same time as the breast lift and augmentation procedures.

To answer your question about pricing: pricing practices vary widely between plastic surgeons. Many do offer discounts on secondary procedures, but each case must be evaluated on an individual basis.

Without a direct consultation I can’t give you a general answer regarding pricing here. I encourage you to contact an experienced board-certified plastic surgeon for a free initial consultation to discuss your plastic surgery goals.

While it might seem logical that an implant alone would solve breast sagging issues, in the vast majority of cases a breast lift is also required.

If you have small breasts that are just mildly deflated and require additional volume, breast implants alone may help. If you have large breasts which sag, this generally requires a breast lift to reshape the breast tissue and remove excess skin.

I can't offer any specific medical advice without an examination, but in most cases an implant alone is not sufficient to correct sagging.

Regarding the areola area, generally speaking breast implants slightly stretch the areola. Reducing the size of a large areola requires an additional procedure. Areola reduction surgery is commonly performed as a combination procedure at the same time as breast augmentation. Nipple reduction surgery is also an option should large nipples or elongated nipples be an issue.

Regarding discount prices for multiple procedures, this would have to be discussed with your plastic surgeon. Some doctors do offer discounts for additional procedures performed during the same session so it’s not out of the question for you.

Without conducting an in-person exam, it’s hard for me to give you an exact answer. The good news is there are several options available to improve your look. First, you should research board-certified plastic surgeons in your area who specialize in this type of breast augmentation and consult with the ones who appear most favorable to your needs.

From your question it sounds like you want to change the look of your breasts and reduce the size of the areola. For sagging breasts you could consider a breast lift. This will help make your breasts firmer and more perky. Women with small, sagging breasts are usually the best candidates for this procedure. Don’t waste your time and money on creams or any miracle cures you see on the Internet. They simply do not work.

A breast lift will not increase breast size. For that you would need breast augmentation, which will alter the size and shape of your breasts, but will likely not help with the sagging. Many women get both done at the same time to give them a younger, fuller look.

As for your areolas, surgery to make them smaller is possible, although scarring afterwards is a concern. You're still young and might be considering having children. The areola may stretch again with pregnancy, if you decide to breastfeed, or as you age.

For all these reasons, it's a good idea for you to consult a board-certified plastic surgeon and thoroughly discuss the procedures available and the likely outcomes with them.

You have a few options available that can enhance your breast appearance through plastic surgery. It's best to consult with a few board-certified plastic surgeons who perform these procedures regularly and have plenty of before and after photos for you to view.

If your breasts sag and you’re seeking to return them to a more youthful, perkier look, breast lift surgery is your best alternative. If you're looking to add volume, meaning larger breasts, you can go with a breast augmentation. If you want to achieve the full "look" -- meaning no sagging/more perky and fuller, larger breasts -- you can have both procedures done at the same time.

Breast surgery will leave scars. Your consultation with the plastic surgeon should include how the breast surgery will be performed (e.g. through the nipple, side of your breast, etc.), and should detail the best ways to minimize scarring. You'll also want to discuss cup size, breast shape, and what the healing process is like --meaning the post-op soreness and swelling, how long you will have to wear a surgical bra, when you can return to your normal activities, and so on.

Surgery can be performed to reduce the size of your areola. However, I suggest you discuss your breast surgery with a plastic surgeon first. It could turn out, depending on which procedure you choose, that your areola is a perfect fit for your enhanced breasts. If not, you can consider incorporating the areola procedure into your breast enhancement surgery.