Spaced out breasts, large areolas - least minimally invasive options to fix the shape? (Photos)

Question

I'm 18 years old now, and my boobs have never looked normal. I'm SO insecure about them, and it's affecting my confidence everywhere. Is there a way to enhance them naturally? Hormones I can take? or what's the least invasive surgery that might fix their shape?

Ellen Ozolins, MD · Answer

Thank you for your question. You likely have tuberous breasts that are characterized by a narrow base, puffy areolas, and a high fold. This isn’t caused by anything you did, and unfortunately, no hormone, supplement, or exercise can correct them. You have two options: either fat grafting or breast augmentation with an implant. Fat grafting can add volume, but it may require multiple sessions and won’t address significant shape issues alone. Breast augmentation with an implant is the most common and effective. The surgeon releases tight tissue inside the breast and places an implant to correct the shape and volume. A consultation with a surgeon experienced in tuberous breast correction is essential.

Gianfranco Frojo, MD · Answer

I would recommend a breast augmentation with silicone gel implants below the muscle inframammary fold approach/incision/scar.

Daniel Barrett, MD · Answer

Dear lowconfidance,

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

Donovan Rosas, MD · Answer

It is important for patients to understand that augmentation will "augment" all aspects of your anatomy. The spacing of the footprints of the breast on the chest wall will vary from one individual to the next. Widely spaced breast will appear more widely spaced and vice versa. 
The spacing (cleavage) is defined by the pocket. The pocket is defined by the plane of augmentation.When placed submuscular, the medial/middle limit is the sternal origin of the muscle. Wide sternum  greater separation of the breasts  less dramatic cleavage. This space can be narrowed (with some risk of synmastia) when the devices are placed subglandular or "over" the muscle. There is no muscle obstructing a medial push, however, there is a higher risk of over-dissection and midline migration of the implant (the dreaded "uni-boob").
With regards to your specific question, there is no "natural" way to enhance without weight gain (which comes with obvious drawbacks). Surgically, I would recommend augmentation. You are a reasonable candidate. A wider device might help with your concerns. However, I would discourage straying too far from your BWD.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Ira H. Rex III, MD · Answer

I surely think you would benefit from a consultation with a plastic surgeon.  Your situation is complex.  Do you want extra volume of the upper poles?  I cannot tell if you're left breast is more droopy than your right breast.  It is likely your breasts will remain with the same cleavage with almost any operation.  You could get an areolar reduction.  If you want significant changes, you will have to have somewhat invasive surgery.  There are a lot of issues to deal with here, and you might have a much better idea of how you want to go forward after speaking with a plastic surgeon.

Emre Guvercin, MD, FEBOPRAS · Answer

Unfortunately there is no natural theraphy to enhance breast volume like hormones etc. Least invasive theraphy can be fat grafting to enhance upper pole and clevage fullness. You have mild tuberous breast deformity and pitosis; best option will be brast lift with implants

Camille Cash, MD · Answer

Breasts come in all shapes and sizes.  Breast augmentation can help add volume and improve contours.  A breast lift can help give you a perkier look and correct size differences.  There are no reliable pills or creams to create a natural enhancement.  See a board certified plastic surgeon near you to learn more.

Connie Hiers, MD, FACS · Answer

It is not uncommon for the girls to be uneven. They are sisters, but not twins. You could have a lift with augmentation to correct the sagging and unevenness of your breasts. No pills will adjust the girls.

Spaced out breasts, large areolas - least minimally invasive options to fix the shape? (Photos)

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