I like breasts that are fuller at the bottom and has a slope at the top. mine is rounded. How can I come closer to this shape?

Dear justwantnormalboobslol,
 Thank you for your question and photos. In order to achieve the kind of results you desire, a breast lift / reduction with or without implants may be required. A breast lift on its own can drastically change and provide lift and help improve overall symmetry in addition to repositioning and adjusting the areola. When combined with breast augmentation, these procedures can improve the shape and appearance of your breasts and help you achieve the lower pole fullness you desire. It's hard to make specific recommendations without an exam, however, so I highly encourage you to meet with a board-certified plastic surgeon. During your consultation, your surgeon will be able to determine which procedure or combination of procedures will be the most beneficial to you. You'll also be able to discuss your goals and concerns, and your surgeon can show you different implant options to help you decide on the size and style that will help achieve the look you want. Thank you again, and I wish you good luck!

Hello, thank you for your question. Based in your photos seems like you can benefit from a breast augmentation with lift. A breast augmentation and a breast lift work hand and hand to enhance the overall shape and size of a woman’s breasts. These procedures are ideal for increasing the size of the breasts while restoring balance and youthfulness to a woman’s bust. The augmentation lift can help eliminate the sagging skin and excess fat causing your breasts to develop a droopy look. It will give your breasts an uplifted appearance and a more desirable sloping shape. Schedule an email, Skype or in-person consultation with a board certified plastic surgeon.

Based on your photos, a breast lift with implants may be recommended for your case depending on your desired outcome, at least one on side. It will best to consult a board certified plastic surgeon who is experienced in cosmetic breast surgery in person and discuss your goals and options after a physical examination.
Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Hello and thank you for your question and sharing your photos. You will benefit from breast augmentation using implants and breast lift (at least on one side) to elevate the nipple-areola complex and reduce the size of the areolas. I
would seek consultation with a board-certified plastic surgeon for a full
evaluation and advice. Best,
Pejman
Aflaki, M.D.
Johns
Hopkins-trained double board-certified plastic surgeon

Hello, in order to get a sense of the results that you might achieve, I find it is much more helpful to actually look a before and after photos of women who have similar-appearing breasts as yours.  Your pre-existing shape will have a major influence on the final result, regardless of the procedure that is used.  If there is a difference in nipple position and size, often a combination of implants plus a lift are required in order to achieve symmetry.

Hello and Great Question. I appreciate the time you are spending researching this procedure. My name is Dr. Matthew J. Nykiel. I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Breast Augmentation Specialist.
Based off your photos you would be a great candidate for a breast augmentation as well as an areolar reduction. I would definitely recommend doing an in person consultation with a board certified plastic surgeon who specializes in this procedure and who can suggest what is needed. 
I hope that helps! Best of 
Luck! 
Matthew J. Nykiel MD

Dear  justwantnormalboobslol,
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

In my practice, patients usually like that upper pole fullness that you already have. As you age, this might become an asset as everyone else becomes more saggy. If larger is a goal, then a reasonable size implant and a Benelli mastopexy ( circumareolar mastopexy) might be helpful to create symmetry and reduce areoalr size. But it is best to see a board certified plastic surgeon with a lot of experience. A good plastic surgeon will also try to envision what your result may look like in a few years. 

Hello, based on your photographs alone, I think you can benefit from breast implants to fill out the lower pole while still maintaining a natural look, combined with a donut lift to improve your ptosis and re-size your areolas.  I would recommend that you seek out a board certified plastic surgeon who specializes in aesthetic plastic surgery.  In your consultation, be sure your surgeon addresses all your concerns and discusses the surgery details including the position and size of the incision used, the type of breast implants available, the risks and benefits of the procedure, recovery time, and post-operative course.  Also, be sure to see plenty of before-and-after pictures in women who have a similar breast appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.  And lastly, I think the most important component of the consultation is to establish a good connection with your plastic surgeon.  It’s the connection that allows you to clearly define your desired breast outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.  For more information on breast augmentation, please refer to my link below.
Good luck.  
Mark K Markarian, MD, MSPH, FACS

Harvard-trained Board Certified Aesthetic Plastic Surgeon

Based on your photos you can consider a lift to help improve symmetry in the areola size.  Your surgeon can help you select the correct implant to help you maintain a fuller lower breast.  See a board certified plastic surgeon near you to learn more.