What would be the appropriate approach to tuberous breasts like mine if I want an aesthetic shape of breast and areola? (photos)

Hello! Thank you for your question. Apart from tuberous breasts, I can also see that your areolas are wide, and your breasts are sagging. In your case, to achieve an aesthetic shape I would advise reduction of subareolar area and implant insertion via subglandular plane with mastopexy to solve your breasts sagginess problem. Parenchymal scoring might also be necessary.

Your breasts are not tubular, but you do have sagging. a lift with an augmentation would work well for you.

Unfortunately, surgeons have created the term tuberous breasts, a fact which causes unnecessary concerns for women. Many women just have different sizes and shapes and in my opinion shouldn't be labeled. I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA