Exploring Breast Augmentation: Is a Nipple Lift Necessary? (Photo)

Dear pativrgz17,
tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

El levantamiento de pezones, también conocido como mastopexia de pezón, es un procedimiento quirúrgico que se realiza para corregir pezones caídos o invertidos. Sin embargo, no es necesariamente parte del proceso de aumento de senos, ya que el objetivo principal del aumento de senos es aumentar el tamaño y la plenitud de los senos, no necesariamente corregir la posición de los pezones.
En muchos casos, el aumento de senos por sí solo puede mejorar la apariencia de los senos y proporcionar una apariencia más completa y juvenil. Sin embargo, si la paciente también tiene pezones caídos o invertidos, puede considerar someterse a un levantamiento de pezones en combinación con el aumento de senos para obtener los resultados deseados.
Dr. Francisco Rodriguez

Hello and thank you for your question. You have a few options that you could pursue for increasing volume in your breasts and changing the nipple position on the breast. Your surgeon should be able to discuss the different options and the benefits and risks of each.

For the most symmetric result that keeps your implants at a more modest size, I would recommend a donut mastopexy, or donut breast lift, aka a circumareolar mastopexy. This is when a ring of tissue is removed around each areola to slightly lift the areola and improve symmetry. Currently your left areola is lower than your right. This, along with a modestly-sized breast implant, would provide a rounder, perkier shape with improved symmetry with the areola. The scar is hidden along the edge of the areola. Through this incision the surgeon can also address the tuberosity of your breasts and place the breast implants.

It does appear as if you have mild tuberosity of your breasts, which is when there is a slight cone-shape to the breasts. At times this tight tissue has to be treated with surgery as well and could be performed as a part of your augmentation. The implant would help expand and round the shape of your breasts as well. There are different "profiles" of implants and your surgeon can help discuss which option is best for your goals and your anatomy.