Small pointy breasts- want to fix shape but avoid implants and increasing size. Help! (Photo)

Question

I want to fix the shape of my breasts so that they are round and the nipple is more centered, but I don’t want to add much size. I was considering a breast lift only, but a surgeon told me my results would look “masculine” and “like a man with pec muscles.” I also was looking into a lift with a fat transfer, but I was told I don’t have enough fat. I have pictures of my breasts and then photos of my desired results. I’d love more opinions on my options/what you would do in your practice.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. Based on your photos it seems like you do not need a breast lift. Breast fat transfer is a great tool to balance breasts, improve symmetry, and gain up to one cup size in volume. In general, 200 cc per breast is typically the upper limit of fat injection recommended by most plastic surgeons. It is not that more cannot be injected; but on average, this has been determined to be the most that can be expected to live during one transfer. Multiple transfers would be required for additional cc's. In general, the abdomen and thighs are preferred donor sites but fat from other areas can be used. You would need a consultation with a board certified plastic surgeon to determine your available fat stores.

Gary M. Horndeski, MD · Answer

The technique I recommend is a modified Benelli lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers can be performed.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Robert M. Tornambe, MD · Answer

I appreciate your concerns and frustrations, however it appears from your photos that implants are your only option as you do not have enough fat for transfer. Consult with a board-certified plastic surgeon in your area to explore the best options for you. Good luck.

Daniel Barrett, MD · Answer

Dear Witty84571,
if you want to increase the size of your breasts, you have two options: implants and fat transfer. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Johnson C. Lee, MD · Answer

Thank you or your photos. Your surgeons are all correct. A breast lift only will mean performing a donut lift which will flatten your breasts even more and your chest may appear more masculine. Fat transfer is also minimally useful in your case since you do not have a lot fat to take from other areas and smaller breasts can only accept a small amount of fat grafting each time. You may require multiple rounds of weight gain and fat grafting to get to where you may happy. This will require costs for each surgery and a recovery period each time. Your best option is to have small breast implants placed which can instantly give you a new shape with very little extra size. I use a sizing system in the office so patients can see how their breasts will look with small implants in a bra or under their clothing. Hope this helps!

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Connie Hiers, MD, FACS · Answer

You will get your best shape with implants, and can chose a fairly small size. I do agree with your first surgeon's opinion.

Robert Singer, MD · Answer

There are numerous options: Donut lift alone, donut lift plus a small implant or donut lift and fat injections. They each produce different degrees of cosmetic improvement.

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person and be very realistic about your potential cosmetic result.

Robert Singer, MD FACS

La Jolla, California

Mats Hagstrom, MD (license on probation) · Answer

That type of change is best accomplished with implants. Fat transfer will not change the shape of your breast very much. They will just be slightly larger  with the same shape.

Best,

Mats Hagstrom MD

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and photos and though an examination is really needed, it would appear you would benefit from a lift and small implant or fat to fill out your breasts. So go on some complimentary consultations with experts and compare recommendations after a full examination and discussion of desired results and look at photos of similar patients and become fully informed about the desired procedure

Dr Corbin

Dr Corbin

Small pointy breasts- want to fix shape but avoid implants and increasing size. Help! (Photo)

Answers (9)

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