Breast Augmentation: Q&A

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Can I Have Rounded Breasts if I Do Sientra Moderate Projection, 410 L/380 R? (photo)

I'm afraid of my breasts being tuberous and getting distorted because of my difference in my real size and nipple direction and the short skin under my nipples. I really appreciate all your comments, thank you!

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Sientra candidate moderate profile round implant

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18 Doctor Answers | Asked by Mosa in Arizona

Doctor Answers (18)
Community Comments (1)

Breast Augmentation For Mild Tuberous Breasts

Hello. Thank you for sharing your photos. As you have stated in your post, the photos do exhibit a certain level of tuberous breasts that should be taken into consideration when planning your breast surgery. The implant sizes you have chosen may require a lift to make sure that the upper poles are filled and the tuberous aspect is corrected rather than accentuated. You may want to discuss the doughnut and the lollipop lifts with the surgeon of your choice. That being... more

Breast augmentation for tuberous breasts

Based on the photos, the best way to achieve a more rounded look is to get a breast lift along with implants. The Sientra implants are good options but it would be difficult to achieve your desired shape without a breast lift. Take the time to talk to your plastic surgeon about breast lift in addition to the breast implants. It may be more involved than what you had first anticipated but at the end you want to do the right surgery in order to achieve your goal. Best Wishes, Stewart... more

Tuberous breasts and augmentation

It appears from your pictures that you have a bit of asymmetry and that your surgeon has taken this into account with his selection of implants. The fact that you have a tuberous type breast will necessitate that you undergo a lift along with the augmentation. The implant will take care of the rounded appearance that you seek. The lift will ensure that the nipple is positioned properly on the breast mound. Best wishes for an excellent outcome with... more

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Breast augmentation and breast lift

Hello, Thank you for the question and photos. A breast augmentation will increase the volume of your breasts as well as make them rounder and fuller, especially in the upper pole. Your areola position will also necessitate getting a purse-string breast lift (or areolaplasty) for optimal result. Based on your examination and the implant you choose, the use of a vertical incision for a lolli-pop breast lift may or may not be needed and should be discussed with your... more

Rounded Breast Appearance after Breast Augmentation?

Thank you for the question and pictures. Your question raises a frequently raised concern for patients undergoing breast augmentation surgery. Some patients who are seeking a “rounded” appearance of the breast after breast augmentation may not be able to achieve the desired outcome regardless of the type of breast implant used. This is because of the amount of breast tissue present; the appearance of the breasts after surgery will be dictated to some... more

Breast Lift and Implants

The breasts pictured do not meet all of the characteristics of tuberous breasts, but they are perfectly round either. The breasts exhibit grade II ptosis, and you will need implants and a lift to help create a rounded, lifted look to your breasts and areolae. Kenneth Hughes, MD Hughesplasticsurgery Los Angeles, CA

Round breasts.

Thanks for this question and the photos. It's likely you need a lift and areola reduction. With any round implant, the bigger you go, then the less likely it will look natural. The final cup and implant size is better determined after examination with your PS. Best wishes, Dr. Aldo.

Aldo Guerra, MD

64 reviews

Scottsdale Plastic Surgeon

Breast implants

Your breasts are slightly photic, meaning they sag a little. I do not think the type of implant will make much difference. To me, it is a matter of whether you want a lift of your breasts as well as an implant. I think a lollipop type lift will improve your symmetry as well as reducing the size of your areolae.

Hello

Thank you for the pictures, but the best way to give you better advice is through an exam. In our practice we would recommend a peri lift (around your areola) to correct the tuberous breasts. Doing Moderate implants will not do it alone. You should talk to your PS and tell him your wanting the tuberous breast to be corrected.

Breast implants and lift

Thanks for the photos. Of course the best way to suggest what to do is to go for a consultation. It looks like you could benefit from an augmentation and formal lift.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

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Comments (1)

Brian Howard, MD
7 months ago

Great question. If your goals are to have a more rounded breast shape, an implant alone will only get you partially there. Ideally, you need a breast lift, known as a mastopexy, together with an implant. As a general rule, the larger the implant, the more the breast takes the rounded shape of an implant. This is not to encourage you to go larger than you feel comfortable, however! Best wishes!

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