What size implant should I get to correct my tuberous breasts for the best shape result? (Photos)

A feature of tuberous breasts is a shorter distance from the nipple to the bottom (inframammary fold or IMF) than to the sides of the breast. So if you picture a round implant that matches the diameter, centering it behind the nipple will require lowering the IMF. This creates potential issues such as double bubble. Often a good choice is an oval base, form-stable implant. 

First of all, you don't have tuberous breasts. Secondly, a Benelli lift involves removal of skin around the areola. It does not provide an effective lift and tends to distort the areola because of tension. Most surgeons avoid it. Third, you don't need a breast lift. Sure, you can have 425 or 450 cc implants. Get what you want. An inframammary (I use a supra-inframammary) incision is best. The implant should ride a little high at first and then gradually settle into position. You need to get another opinion.

The implant size is best related to your breast dimensions. Therefore it is difficult to tell you what size based on a photo. The larger you go, the more perky the breast initially looks, however larger implants also have risks of tissue stretch and sagging over time. From the photo, your tubular condition looks very mild. I would be wary of an excessive intervention and would try to keep things simple with an implant alone. You can always do more. However, it is difficult to provide an accurate plan without an exam and measurements. The implant size probably has the least effect on your outcome compared with the surgical plan and its execution.

Tuberous breast is not, technically speaking, a "yes" or "no" question. There can be different points on the continuum. The typical hallmarks include a high, tight fold with "puffy" or distended areola, minimal breast tissue and potentially herniation of the breast tissue through a tightened ring thus the "tuberous" label. It is a congenital deformity which usually manifests at puberty. To what degree it manifests will vary from one patient to the next.
Treatment of tuberous breasts varies depending on the degree of the breast architectural distortion. Surgical correction typically involves:
-areolar reduction
-submuscular augmentation
-release of constricted breast tissue
All of these techniques work in concert to correct the tuberous deformation of the breast.
Based upon your photos alone, you do not appear to have a classic "tuberous breast deformity." There is very mild lower pole constriction and herniation (on side view) but you are a reasonable candidate for augmentation +/- lift. Persistence of crease or double bubble is a possibility but often times this self corrects with time. and soft tissue stretch. Sizing advice is difficult without measures, however, the key to respect your BWD. Often times a HP device will help correct some tightness in the lower pole.
As always, discuss your concerns with a board certified plastic surgeon (ABPS)

Your breasts are not tuberous but low with wide cleavage.  I recommend 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 and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices and half are removed by 9.5 years.Best Wishes,Gary Horndeski, M.D.
 

Thank you for your question. Your breast are not severe so with that being said I think you will have a great result with a HP implant.  The projection on the HP implant will help lift your breast and give a larger looking breast.  The ultimate size of the implant is a personal decision and should be discussed with your surgeon to make sure they think it will fit.  You can ask your surgeon to see if they offer 3D imaging which can help determine proper implant size for your body based on your goals.   Best of luck to you. 

Hello and thank you for your question. You have mild tuberous breasts with lower pole constriction.  You are a great candidate for a breast augmentation with release of lower pole constriction.  The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. 

Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

Dear Ohiomom79,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.Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question and photos
There are several variables to be considered when answering this question. It is always difficult to make a diagnosis based on photos alone, however, an augmentation with a smooth round silicone implant and a breast lift will achieve great results. When you meet with a board certified plastic surgeon, they will perform a set of measurements that will help determine what size of implants will fit your body and if a breast lift is necessary.  I hope this is helpful.
 

Thanks for your question and photos. Your “tuberous” breasts  are not severe in terms of skin contraction deformity. You will likely benefit from an augment but projection is important to provide adequate lift. You have a narrow chest and normally I’d recommend a high or extra high projection implant, what volume you choose is a personal preference but 375 will be the most I’d recommend unless you are after an “extreme” look. See a board certified plastic surgeon for more accurate assessment. Hope this helps.