38D, saggy and flat. Can my breasts look good?

Dear billydee78,

tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.
The type of surgery best for you will depend on the severity of your condition.
My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.
That said, it is best that you visit a board-certified plastic surgeon for an in person examination. 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

From the photo you are a candidate for a breast lift. This would remove excess skin, downsize the areola, and lift the nipple. A small implant can also be added to give more shape and fullness and overall perkier look. I've included a video I hope you find helpful.

If you’re concerned about sagging, a breast lift can help reshape them to make them fuller in the upper portion and perkier, so that your nipples would be facing forward rather than downward. Implants can be placed, however they aren’t necessary if you are happy with your current size.