Can You Correct Tuberous Breast Without Implants? (photo)

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation.  Always insist on a board certified plastic surgeon.

#TuberousBreast correction without #breast implantsBecause there is a wide range of conditions (appearances)
from mild to severe, the surgical treatment for #TuberousBreastDeformity or #TBD .will vary but can include: implant
alone, the use of tissue expansion ,
correction of the breast base and breast fold, and the correction of the
areola. The use of fat grafting or
natural breast enhancement can help shape the breast with or without implants

Absolutely. It's up to you whether you want larger breasts, too. You can just fix the tuberosity for a rounder breast shape.

It appears that you have tuberous breasts. A common treatment technique involves releasing constricted breast tissue underneath the protruding nipples to give your breasts a fuller, less "snoopy" shape. No breast implants are needed but you may not be happy with their size after surgery.  

Thank you for your question!  Given your photos, it does appear that you have a mild tuberous breast/constricted breast deformity.  The standard procedure would be placement of an implant (or tissue expander, depending on the lower pole of your breast) as well as a circumareolar breast lift.  These modalities would correct the issues with tuberous breast: constricted breast at the inferior pole, via breast prosthetic; scoring of the tissue to release the bands; lowering the inframammary fold; correcting the herniation of breast tissue into the areolae; and decreasing the overall size of the areolae.  These are the hallmarks of tuberous breasts.  You could likely get great results with an implant and possible breast lift.  It is possible to simply perform a breast lift, however, looking at your photos, I do think that either fat grafting or an implant would make a significant difference to your breast shape/appearance and give you a much better result.  Consult with a plastic surgeon well-versed in breast surgery and discuss your goals and expectations.  S/he will then be able to examine and discuss the various options and assist you in deciding which decision os the right one for you, given your desires.  I would expect a very pleasing result for you!  Hope that this helps!  Best wishes for a wonderful result!