I am 20 years old, 150 lbs and no pregnancies. I would like my areolas smaller and my nipples more prominent. They usually are flat against my breast and only come out when I am cold or turned on. I would also like to know what can be done with my breast shape. I do not want large circular breasts like implants give you. I would like natural looking breasts with almost a tear drop shape. All in all I just want to look natural. Thanks for all answers.
What Procedures Are Necessary to Fix my Areolas, Nipples and Shape of my Breasts? (photo)
Doctor Answers (8)
I recommend that you have a areola mastopexy with augmentation. I like to use adjustable implants when working on tuberous breasts. I believe it helps create better shape by adjusting the implants over a week or two.
Your photos show widely spaced breasts, a larger right than left breast, very large stretched out areolae and small nipples. It is a mild form of tubular breasts. Making the areolae smaller would involve cutting a donut rim around the edge. If you put an implant under that there is a high likelihood that the areolae will stretch again and/or the scar will be wide. I think you would be better off doing the areolae first with some fat grafting followed by a additional fat grafting 6 months apart. Then you will be less likely to stretch the scar or areolae.
The nipples could be made more prominent at the first surgery using small local skin flaps.
I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.
What Procedures R Necessary to Fix Areola and Breasts?Answr:
I think a good starting point is with a per-areolar lift and augmentation...that will tighten up your wide areola and an implant will give you some more proportionate size...and this would help avoid the full lift as well....
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AS for reduction of the areola that could be accomplished. It is not likely that you can have your nipples more prominent unless something is out under the nipple. As for volume,implant can enhance them.
How to reduce large areolas and improve breast shape
Thank you for the picture that accompanies your question. You have what is termed a tuberous breast deformity; this is defined by your large nipple/areola complex and the shape of your breasts. The best option for your breasts would be to reduce and lift your areola/nipples by removing skin and excess areola in a circular fashion at the edges. To improve the size and shape I would recommend either implants or a fat trasfer. A fat transfer would work well, but it would require you to wear a device pre-operatively that would expand your breast tissue and allow for room for the fat to be grafted to, if you are willing to commit the time and effort this would be your best option.
To implant or not implant.....
There are two issues that your bring up, your breast size and the breast shape. With regard to size, ultimately, if you want your breasts larger, most people utilize implants. Depending on the size of implants that you choose, they may have a rounder appearance. Another option may be fat transfers, especially if you want a smaller augmentation than could be achieved with implants.
WIth regard to your areolae, it looks like you would benefit from a reduction in diameter. This is accomplished wimassither a concentric or vertical mastopexy (breast lift). This does add some scarring but the shape improvement is typically worthwhile. I advise you to consult with a Plastic Surgeon to get a complete evaluation and assessment.
Achieving your breast shape and size goals requires a consultation with a Plastic Surgeon
Although your photos say a lot they are only part of the discussion required before recommendations can be made. For a more optimal breast shape with improved areolar proportions it is likely that an areolar reduction will be part of the solution. The volume, position and shape of your breasts will strongly influence the options and results that are possible. Changing the size of your breasts by adding an implant and changing the diameter and position of your areolae is possible but the specifics of how this should be done and what you will need to reconcile before proceeding needs to be done in person.
Good luck learning about your options when you attend a consultation or two.