How Do I Go About Getting More Attractive Breasts? (photo)

If you look like the first photo then the correction to enlarged, protruding nipples is to have a nipple/areola reduction which is basically like a donut lift (aka, peri-areolar breast lift).  Removing a strip of tissue from the outside of your areola will decrease the diameter of your areola and help flatten it out.  The trade-off is a scar that goes around the outside of the areola.  If you would like to add volume to your breast at the same time, a breast implant could be inserted through this same incision.

Breasts come in all shapes and sizes and significant
variations in breast contour are common amongst women.One of the more commonly seen breast variants
is the tubular breast deformity.This is
also frequently referred to as a constricted breast deformity.The
condition occurs because of constriction of the skin at the base of the
breast.This often results in herniation
of the breast tissue through the areola which creates a unique breast shape.The vast majority of constricted breast
deformities are relatively mild and treatment may not be necessary.Severe cases of this condition occasionally
occur and do require treatment because of the magnitude of the breast
deformity.A variety of approaches can
be used to correct this problem.Treatments should be individualized based on the specifics of the
anatomic deformity and the aesthetic goals of the patient. Based
on your history and pictures, I believe you probably have a mild tubular breast
deformity.If you have continued concern
about this issue, consultation with a board certified plastic surgeon would be
appropriate.This surgeon should be able
to address both your unique anatomic findings and aesthetic concerns.

It sounds like you may have tuberous breasts. Typically, breasts are comprised of evenly distributed tissue while tuberous breasts are characterized by tissue that is concentrated directly underneath the protruding nipples. Because of this, a common treatment technique involves releasing this constricted breast tissue by making internal radial incisions that allow it to splay out properly. These incisions are done internally so you won't see anything externally. Implants can be placed at time of your surgery to enhance their size.

Thank you for your question and the photos.

What you describe likely represents "herniation" of the nipple with or without tuberous breasts.

If you are going to undergo breast augmentation, then your nipples can be corrected at the same time by approaching your breast augmentation through the areola with an incision all the way around the nipple, 360 degrees.

This will reduce the size of the areola, give an opportunity to correct the puffiness of the nipples, and serve as the access point to place your implants.

This can be a difficult surgery in the hands of an inexperienced plastic surgeon.  Make certain that your plastic surgeon is experienced, very comfortable addressing all of the things you want accomplished and board-certified by the American Board of Plastic Surgery.

I hope this helps.

Hi there-

Without consulting with you about your goals, and examining you, it is very difficult to responsibly make recommendations to you.

It sounds like you have tuberous breasts, with nipple/areola pseudo-herniation. This can be greatly improved through modern plastic surgical techniques.

Your best bet is to find a surgeon Certified by The American Board of Plastic Surgery who you like and feel you can trust and visit for a consultation.