What Type Of Breast Reshaping Procedure Do I Need?

Q: Dr. Eppley, I am a 28 year-old woman who doesn’t like the shape of her breasts. They are very saggy and not even. One is smaller and hangs lower than the other. In addition, my areolas are huge and way out of proportion to the size of my breasts. I am young and these breasts like old lady breasts. I have attached pictures for you to see. What type of breast reshaping procedure do I need and will there be scars?

A: Thank you for sending your pictures and expressing your interest in breast reshaping/rejuvenation. Breasts like yours pose real challenges in getting uplifted fuller symmetric breasts while minimzing scars. There are two fundamental approaches that can be done. The first would be a periaroelar mastopexy (breast lift) with implants. This approach would make the breasts larger and would have have scars limited to around the smaller areolas. Its downside is that only a minimal lift and an improvement in symmetry would be achieved, so you would have larger breasts that still hang. The second approach would be vertical breast lifts combined with implants. This would be infinitely more effective an uplifting your breasts, improving their symmetry, making the areolas smaller, and providing improved fullness. The one downside is that there would be scars around the smaller areola and then vertically down to the lower breast fold. (and perhaps some scar along the breast fold crease as well)

As you can see, neither approach is perfect and one has to accept either low hanging breasts with minimal scar or uplifted fuller breasts with more scar.

Dr. Barry Eppley

Indianapolis, Indiana