What type of implant and what size should I get for my operation? (photo)
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Addressing the tubular breast
As far as the incision, it should be around the nipple as this is the best approach to release the constricted lower pole to allow for expansion and lowering the fold as the fold is high.
As far as sizing, I feel you should have your surgeon assist you by placing actual implants in a bra to place you in a better position to appreciate how that size impacts on your frame.
This will better assist you in appreciating proportions.
Implant is not essential
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Type of breast implant and size
As mentioned by others you do not have tubular breasts, but mild ptosis and asymmetry . The right side is fairly straightforward with and augment and periareolar mastopexy . Very much like your desired result. The left is a bit more ptotic and would require a small vertical component to get proper elevation and equalize areolar size. A mod+ smooth silicone prostheses in the low 200 cc's would work well. Your desired result is certainly achievable with an experienced plastic surgeon.
You have some ptosis and asymmetry. Implants can help but you need a lift. It is possible that a circumareola may be ok, but an exam in person is essential to be properly evaluated.
What you wish is not a reality for your type of breasts. Your breasts are minor tuberous but very asymmetric, asymmetry of N/A, ptosis of left. thus you need more than just a circus areolar incisions...
Tuberous Breast and Implant Size
The problem with a tuberous breast is that the base is constricted. This results in a crease that is often too high and a deficiency of lower pole volume and skin. In order to achieve the "round" result that you desire, your implant size will have to be relatively large so as to expand the constricted base and, by it's weight, to expand lower pole skin. A small implant will not be necessarily bad, but will not give you the look you desire.
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