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

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.

Hi, breast lift and implants will be excellent solution for you. According to your pictures, you are going to need breast lift with vertical scar (lollipop shaped). The size of implant depends on your desire.

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. 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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

The technique I recommend is a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Breast lift will restore perkiness and shape. This will raise your areolae.

Small breast implants can be added for more upper fullness.

An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.

Hi, thank you for sharing your question. You are a good candidate for a breast lift with or without implants based on your goal for size and shape.

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.