Can I Have Rounded Breasts if I Do Sientra Moderate Projection, 410 L/380 R? (photo)

I'm afraid of my breasts being tuberous and getting distorted because of my difference in my real size and nipple direction and the short skin under my nipples. I really appreciate all your comments, thank you!

Doctor Answers 21

Tuberous breasts and augmentation

It appears from  your pictures that you have a bit of asymmetry and that your surgeon has taken this into account with his selection of implants. 

The fact that you have a tuberous type breast will necessitate that you undergo a lift along with the augmentation.  The implant will take care of the rounded appearance that you seek.  The lift will ensure that the nipple is positioned properly on the breast mound.   

Best wishes for an excellent outcome with your surgery,

Douglas Hargrave,M.D.

Albany Plastic Surgeon
5.0 out of 5 stars 23 reviews

Breast implants

Your breasts are slightly photic, meaning they sag a little.  I do not think the type of implant will make much difference.  To me, it is a matter of whether you want a lift of your breasts as well as an implant.  I think a lollipop type lift will improve your symmetry as well as reducing the size of your areolae.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 27 reviews

Breast Augmentation For Mild Tuberous Breasts


Thank you for sharing your photos.

As you have stated in your post, the photos do exhibit a certain level of tuberous breasts that should be taken into consideration when planning your breast surgery.

The implant sizes you have chosen may require a lift to make sure that the upper poles are filled and the tuberous aspect is corrected rather than accentuated.

You may want to discuss the doughnut and the lollipop lifts with the surgeon of your choice.

That being said, please remember that commendable results require an exceptionally skilled surgeon to perform the surgery and settling for anything less than that increases the chances of additional corrective surgeries dramatically.
I hope this helps and please feel free to check the website below.

Thank you for your inquiry.
The best of luck to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 195 reviews

Breast augmentation for tuberous breasts

Based on the photos, the best way to achieve a more rounded look is to get a breast lift along with implants. The Sientra implants are good options but it would be difficult to achieve your desired shape without a breast lift. Take the time to talk to your plastic surgeon about breast lift in addition to the breast implants. It may be more involved than what you had first anticipated but at the end you want to do the right surgery in order to achieve your goal.

Best Wishes,

Stewart Wang, MD FACS, Wang Plastic Surgery

Stewart Wang, MD, FACS
Los Angeles Plastic Surgeon
4.6 out of 5 stars 28 reviews

Breast augmentation and breast lift


Thank you for the question and photos.  A breast augmentation will increase the volume of your breasts as well as make them rounder and fuller, especially in the upper pole.  Your areola position will also necessitate getting a purse-string breast  lift (or areolaplasty) for optimal result.  Based on your examination and the implant you choose, the use of a vertical incision for a lolli-pop breast lift may or may not be needed and should be discussed with your plastic surgeon.  The brand of the implant will not make much difference.

All the best,

Dr Remus Repta 

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 162 reviews

Rounded Breast Appearance after Breast Augmentation?

Thank you for the question and pictures.

Your question raises a frequently  raised concern for patients undergoing breast augmentation surgery.  Some patients who are seeking a “rounded” appearance of the breast after  breast augmentation may not be able to achieve the desired outcome regardless of the type of breast implant used. This is because of the amount of breast tissue present;  the appearance of the breasts  after surgery will be dictated to some degree  by how much breast tissue/soft tissue is present over the breast implants.  If a significant amount of breast tissue is present, the rounded appearance of the breast implants will likely not show through the overlying tissue coverage.

 You will be best  off doing your due diligence and selecting your plastic surgeon carefully. After doing so, communicate your goals carefully (I prefer the use of goal pictures) is. Ask your surgeon if your goals are realistic considering the “starting point” of your breasts.

 I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,487 reviews

Creating a Round Breast with Sientra Implants

Your photos show some asymmetry and a moderate amount of ptosis or sag to your breasts.  The implants that have been chosen will definitely help get you a rounder breast but they will not correct the tuberous nature of your breasts, reduce the size of your areola or give you a very round look.  In order to achieve that you would need a lift at the same time.  It is hard to say what kind of lift would work the best without seeing you in person as well as matching your goals to what is technically possible.If you just opt for a breast augmentation, you should still get a fairly reasonable result with the Sientra breast implants that have been chosen, it will just not be a very round result.I hope that helps.Best regards.

Brian Windle, MD
Kirkland Plastic Surgeon
4.9 out of 5 stars 62 reviews

Tuberous breasts

If you were to proceed with implants alone you most likely will not be happy with the appearance of your breasts.  A lift is indicated for the best results.  Some surgeons may want to lift first than insert the implants at a later date.  Though it can be done and the same time, sometimes staging the procedures allows for the best end result.  Tuberous breasts can often allow for something termed as a "double bubble" this is due to the short distance between the nipple/areolas and the infra-mammary fold (IMF).  The goal is for the weight of the implant to round this out but it can take some time.  You will have to be patient after surgery as final results take a bit longer when dealing with a tubular or tuberous breast.  Be sure to find a Board Certified Plastic Surgeon that is experienced with operating on this type of breast as the surgical approach is different than a straightforward augmentation. 

Alan N. Larsen, MD
Atlanta Plastic Surgeon
4.6 out of 5 stars 55 reviews

Sientra Breast Implants

Hi Xime,
You are right, you do have a tuberous breast configuration, they call it Type I.  So you are a very challenging case, and as Dr. Sajadian said below, you need to see someone with a lot of experience with this.  I already know you are seeing a board certified plastic surgeon because Sientra only sells to BC plastic surgeons (by ABPS - The American Board of Plastic Surgery) who are members of ASAPS (The American Society for Aesthetic Plastic Surgery) and or a member of ASPS (The American Society of Plastic Surgeons). So that is great!  Put an index card in your breast fold. If your nipple is at the edge of the card or below, you would be a candidate for a lift, either a vertical or anchor. If you nipple is above the edge, you could be a candidate for an internal dual plane lift called the dual plane. Most likely, though, you will need a lift as described below by Dr. Sajjadian, below.  I wish you all the best,  "Dr. Joe"

Joe Gryskiewicz, MD, FACS
Minneapolis Plastic Surgeon
5.0 out of 5 stars 269 reviews

Breast Lift and Implants

   The breasts pictured do not meet all of the characteristics of tuberous breasts, but they are perfectly round either.   The breasts exhibit grade II ptosis, and you will need implants and a lift to help create a rounded, lifted look to your breasts and areolae.  Kenneth Hughes, MD Hughesplasticsurgery Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.