Do I Have an Unusual Case of Large Tuberous Breasts? (photo)

Yes most tuberous breasts are small, but you definitely have all of the other symptoms of tuberous breasts including a high riding fold underneath the breasts, widely spaces breasts and herniation of the breast tissue into the nipple causing a very wide nipple appearance.  Good luck.

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation.  Always insist on a board certified plastic surgeon.

Your breasts are very ptotic, too far apart with large areolas.  You would benefit from a new technique called Breast Augmentation with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to place the implant, reshape your breast tissue to increase upper pole fullness and move the breast more medial to increase cleavage.  Aligning the areola, breast tissue and implant high on the chest wall over the bony prominence will give you the maximum anterior projection with a minimal size implant.  Whether you have a case of tuberous breasts or not is irrelevant.  You would be an excellent candidate for this new technique, which leaves no vertical scars like the lollipop or boat anchor shaped incisions.

Best Wishes,

Gary Horndeski, M.D.

Yes, you have pretty classic tuberous breasts.  I find that a vertical mastopexy and implants work well in this situation.  The excess breast tissue under the areaola is removed this way (converting tuberous breasts to non-tuberous breasts), the volume is restored using implants, and the areola is made much smaller, with minimal skin tension.  The technical name for this operation is a vertical augmentation/mastopexy.  Some other techniques such as a periareolar mastopexy do not tend to work as well and can create an operated appearance around the areola because of skin tension.  I've attached a link to my website.

You may have tuberous breasts, but they are not classic in that sense. Regardless of what you want to call it, you can correct it with a lift if you want to. A breast lift (mastopexy), will lift the breast, round out the shape, and make the nipple areolar complex smaller.