Small, tubular, breasts, large areolas, far apart with low nipples. What treatments will not include an implant? (photo)

Treatment

Because there is a wide range of appearances, from mild to severe, the surgical treatment for Tuberous Breast Deformity or TBD must address the following elements for a successful result :

Breast Base Grade: l,ll, or lllAsymmetry left and rightSkin envelopeAreola size, shape, herniation, and positionBreast volumePtosis (drooping)Breast fold position and size.Mild forms of TBD can be undiagnosed often leading to incorrect or incomplete surgery. The surgery must address all of the anatomical problems including: breast fold malposition, constricted or narrow breast base. Surgical procedures may include the following:

Implant aloneType and shape of implantOne or more stagesThe use of tissue expansion and implantsPocket placementPlacement of incisionsBreast lift and typeCorrection of the breast base and breast fold,Correction of the areola.The use of fat grafting or natural breast enhancement to help shape the breast with or without implants

Your posted photos show significant asymmetry with the breast tissue on the right at and below nipple level while that on the left is at and above nipple level. On front view the breast mounds seem widely separated but on oblique view you can see the bases of the breasts are closer together and it is the shape of the breasts outside the bases that makes them seem widely separated. I suspect the left breast crease is higher than the right one. With or without implants surgery will not be easy and it is clear that implants alone will be insufficient.

At a minimum some cuts will need to be made in the breast tissue below the level of the skin to reshape them.

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.

Hi there

You definitely have tubular breast deformity.  As you have good volume it can be well corrected through a periareolar incision, which can also correct the areolar size and breast asymmetry. If you have health insurance there is an item number which means that insurance coverage applies to the hospital costs of treatment.  Best thing to do is, when you're ready, is have a consultation and find out more about correction in specific detail.

good luck