RLA-
Breasts present in many forms and shapes. There are even differences between breasts in the same patient. I tell my patients that breasts are "sisters" not "twins". Because of these differences, there are many options for breast surgery to correct many different issues. Breast implants alone may not correct a tubular issue....lifting of the nipple/areolar complex to a more youthful position (ideally centered over an implant) may also be necessary. This is referred to as a Mastopexy. It is performed with a scar either around the Areola or for more severe cases with a scar around the Areola and up and down along the front of the breast (Vertical Mastopexy).
I recommend you sit down with a Board Certified Plastic Surgeon with significant experience in Breast Surgery and discuss your anatomy and your options!
I hope this helps and Good Luck!
Dr. C





