Breast Augmentation: Q&A

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What Procedures Would I Have to Do in Order to Have my Breasts Look Like my Wish Pictures? (photo)

I had an areola reduction but it did not correct the "puffiness" of my areolas because it is actually my breast pushing forward into my areolas. My areolas are large and puffy. I would like more of a natural crease at the bottom of my breasts, smaller flatter areolas and nice cleavage with full round breasts. I think implants alone wont help it will just make my breasts look like large cones. Please help. Thank you.

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13 Doctor Answers | Asked by Ladyred514

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Breast Augmentation with Mini Ultimate Breast Lift to achieve wish pictures

You will need a breast augmentation to increase the volume of your breasts to the desired volume in the photographs. Through a circumareola approach your areola will be reduced in size, elevated on your chest wall and the shape of your breasts can be changed to provide more upper pole fullness and increase cleavage. All this can be done without a vertical scar leaving only an incision around the areola. I recommedn Breast Augmentation with Mini Ultimate Breast Lift using... more

Tuberous Breasts #breastimplants

You exhibit the qualities of what we would call Tuberous Breasts. The three main features are 1. High riding inframammary fold, 2. Herniated tissue into the areola with large areola, and 3. Narrow lower poles of the breasts. These cases can be extremely challenging at best. I would caution you against wanting a specific look of someone else because breasts are all so different. There are qualities of the wish boobs that I do not think you can get. I do not think you can ever get the lower... more

Puffy nipples, areolar reduction and breast implants

You have a breast shape that occurs when your lower half of your breast failed to expand when your breasts started to grow. Consequently, your gland stretched out your areolas. So reducing the areolas will not correct this problem. Larger breasts (implants) will improve the lower half of your breasts but not the tissue that protrudes out that way. So you need to make room for that gland or remove part of it. Then the areolas can be made smaller. So to get a better looking breast you... more

It's a mistake to ask procedural questions of anyone except the surgeon you choose to do your surgery

Hi there- Without examining you, it would not be possible to responsibly say what I would recommend for you as a means of achieving your goal... But more importantly, it is important for you to understand that you are going about this the wrong way, and I would be worried that the way you are researching your options is going to increase your chances of ending up unhappy. Why? Well, because even if I thought it was responsible to say what operation I would do on you... more

How to correct tuberous breast shapes

The appearance that you have is for your breasts to show a tuberous breast shape bilaterally. This will not look like the example of the breasts that you are comparing yourself to, but you certainly will see improvements in your shape if you have bilateral doughnut mastopexies performed bilaterally. You will need a more effective areolar doughnut reduction I don't believe that a breast augmentation by itself will give the results that you will want without the lift. ... more

Recommendations for breast surgery

First, I don't think that your breasts will ever look like you "wish" photos. You are simply not built that way. On the other hand I think that further periareolar mastopexy and a small to modest sized breast implant would improve your shape and proportions. Take your time and get several consultations if necessary until you find the surgeon who seems right to you. Good luck.

Tubular breasts

Your posted photos show asymmetric nipple position (the left is higher and further from the midline than the right), enlarged puffy areolae and a deficit of skin between the nipples and the inframammary folds. Although surgery can improve things there is no way to get from where you are to the photos you posted as what you wish for you. You need some major adjustments of the skin envelope and there is no lift procedure on earth that will increase the amount of skin between the nipple and... more

Explanation what you have, and what you can do!

You have more breast tissue above your nipple than below and you have enlarged areolas. This is a minor variant of what my colleagues already mentioned: constricted or tuberous breasts. Your first "wish breasts" have the opposite, more volume under the nipple than above (thanks to the implants) and small areolas. The second are more realistic but have small areolas. Problem: Your breast skin is tight and not enough stretched Your areola skin is loose and... more

Breast issues and wish list

Certainly an implant can be placed and the areola reduced. Achieving the "wish breasts" is unlikely but you can have a very nice result.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast surgery wish list

It is important for you to understand that we can wave our magic wands, or scalpels, and change the breasts you have into someone else's. Unfortunately, tuberous breast deformity is a difficult problem to correct.

Tuberous Breasts and Wish Lists

Dear Ladyred514, Thank you for your question and the photos. Your breasts have the shape and appearance of a tuberous breast deformity. Unfortunately, no matter what techniques or implants you may use, you will never be able to have the exact shape, look, and positioning of the breasts you list on your wish list. That being said, you can still achieve a very beautiful and aesthetic breast appearance. The procedures required are a nipple/areola reduction... more

What procedures to do

Your photos show that your breasts have characteristics of tuberous breasts which give you the puffy nipple appearance. A periareolar mastopexy and implants should give you a result close to what you want. Ask to see examples of your surgeon's work with breasts like yours.

How do I Achieve my Goals ( Tuberous Breasts)?

Thank you for your question and pictures. I think your breasts demonstrate some characteristics seen with constricted or tuberous breasts. Achieving your goals would require breast augmentation along with reduction of the areola as well as tissue that is “herniating” through the areola. Generally, correction of tuberous breast anomalies involves breast augmentation with areola reduction / mastopexy procedure. The distance from the inframammary fold is increased (to... more