Thank you for the question. Generally speaking, some of the characteristics seen with tuberous breasts include a very narrow base, short distance from areola to inframammary fold, tight (constricted) lower pole of the breasts, relatively wide space between the breasts, "puffy" and areola and some degree of ptosis (drooping). When the time is right, seek consultation with board certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with. In other words, ask to see lots of examples of their work. This careful selection of your plastic surgeon will be key. Generally I suggest that patients start with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons. Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. ***Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done. Reading online reviews can be helpful in this regard also. Ultimately it will be important that you feel comfortable that your plastic surgeon have a significant/demonstrable experience consistently achieving the types of outcomes you will be pleased with. Besides appropriate training and experience (and certification by the American Board of plastic surgery), looking at before/after photographs (and preferably talking to previous patients) can be very helpful in this selection process. Basically, patients should look at the overall "quality" (as well as quantity) of the outcomes achieved; in other words, it will be important that patients see lots of examples of outcomes that they would be pleased with. In doing so patients will be able to get an idea of each plastic surgeon's "aesthetic sensibilities". Then, careful communication of your goals, careful dimensional planning ( measurements), careful selection of appropriate breast implant size/profile and skillful execution of the procedure will all be necessary to achieve the outcome you will be pleased with. Best wishes.