I'm really unhappy with the appearance of my breasts when my nipples are not erect. When my nipples are hard I actually like how they look, but my nipples are not very sensitive so they don't stay hard for long at all. I'm ok with my breast size but the shape bothers me. I think they're tubular and asymmetrical and would love for them to look more perky. I'd appreciate any opinions on areola reduction, implants, or nipple correction surgery. Thank you.
Answer: Breast correction Hello, based on the photos your breasts do not appear to have many of the typical features of tuberous breasts. However, if you are dissatisfied with the nipple position and breast shape, a plastic surgeon could provide options to address these concerns. The best procedure would depend on your goals, i.e. whether you want to have larger breasts, remain the same size, tolerance of scars on the breasts, etc.
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Answer: Breast correction Hello, based on the photos your breasts do not appear to have many of the typical features of tuberous breasts. However, if you are dissatisfied with the nipple position and breast shape, a plastic surgeon could provide options to address these concerns. The best procedure would depend on your goals, i.e. whether you want to have larger breasts, remain the same size, tolerance of scars on the breasts, etc.
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October 8, 2015
Answer: Breast augmentation Dear Annie,Thanks for your questions. While there is some constriction of the lower pole of the left breast, which is a feature of tuberous breasts, your breasts are not a classic example of tuberous breasts.I believe your left breast would do well with a straightforward augmentation. A breast implant placed over the muscle may be the best choice to improve the shape.On the right side, you do need a lift. A vertical pattern lift should be enough. The areolar diameter could be reduced during the lift as well. Aloha,Shim Ching, MD
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October 8, 2015
Answer: Breast augmentation Dear Annie,Thanks for your questions. While there is some constriction of the lower pole of the left breast, which is a feature of tuberous breasts, your breasts are not a classic example of tuberous breasts.I believe your left breast would do well with a straightforward augmentation. A breast implant placed over the muscle may be the best choice to improve the shape.On the right side, you do need a lift. A vertical pattern lift should be enough. The areolar diameter could be reduced during the lift as well. Aloha,Shim Ching, MD
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October 8, 2015
Answer: Best options for tubular (I think) breasts with large areola and flat, low nipples? You appear to have some asymmetry of your breasts, with one slightly larger and "droopier" than the other. Not sure you need a full lift just based on your photos but you could definitely benefit from a peri-areolar lift to help reduce the diameter of the areola and even out the nipples. Best to see a board certified plastic surgeon who takes the time to properly examine and evaluate you and recommends the best procedures for you! Good luck!
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October 8, 2015
Answer: Best options for tubular (I think) breasts with large areola and flat, low nipples? You appear to have some asymmetry of your breasts, with one slightly larger and "droopier" than the other. Not sure you need a full lift just based on your photos but you could definitely benefit from a peri-areolar lift to help reduce the diameter of the areola and even out the nipples. Best to see a board certified plastic surgeon who takes the time to properly examine and evaluate you and recommends the best procedures for you! Good luck!
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October 8, 2015
Answer: Tubular (I think) breasts=Breast Lift Aloha Annie,From your photos it doesn't really appear that you have Tuberous breasts, or at most a very mild degree. I think you just have sagging, especially on the larger right breast.The sagging, large areolas, and asymmetrical shape /size could all be addressed with a Breast Lift. Adding High-profile implants under the muscle would add to the 'perkiness'!I would recommend you seeing an experienced Surgeon Certified by The American Board Of Plastic Surgery[ABPS] and a member of The American Society of Plastic Surgeons (ASPS) for a consult.Mahalo, Dr D
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October 8, 2015
Answer: Tubular (I think) breasts=Breast Lift Aloha Annie,From your photos it doesn't really appear that you have Tuberous breasts, or at most a very mild degree. I think you just have sagging, especially on the larger right breast.The sagging, large areolas, and asymmetrical shape /size could all be addressed with a Breast Lift. Adding High-profile implants under the muscle would add to the 'perkiness'!I would recommend you seeing an experienced Surgeon Certified by The American Board Of Plastic Surgery[ABPS] and a member of The American Society of Plastic Surgeons (ASPS) for a consult.Mahalo, Dr D
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October 8, 2015
Answer: Breast asymmetry and nipple appearance Thank you for your question. I don't feel that your breasts are tubular. Tubular breasts have a narrower base and very large areola with herniation of breast tissue into the areola. You really have breast ptosis on the right and enlarged areolae. The reason you like the appearance of the breasts when the nipples are erect is that the musculature within the areola is pulling together and taking up some of the excess skin of the breasts.I would recommend circumareolar breast lift. The procedure involves repairs hidden around the areolar boarders. The excess skin is removed from around the areola reducing its size as well. The skin is undermined and advanced to the new areolar boarder in with a permanent suture under the skin in a purse string fashion. The size of the breasts can be made more symmetrical by removing some tissue from the right side. Initially, you will have some wrinkling around the areola but this will flatten out over time.You mention wanting to be more perky. Whether you are perky enough after the circumareolar breast lift really is what you will think of your results. Getting more perkiness sometimes requires a breast implant. I would strongly recommend that you do the lift first, see how you like it, and then decide if you want a breast implant augmentation. The reason for this is that it is technically challenging to do breast lift and implants at the same time. I, and many other plastic surgeons will do this, but when there are other factors such as asymmetry in size and shape , amount of ptosis, nipple location, it is best to separate the procedures.I wish all the best and happiness to you.
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October 8, 2015
Answer: Breast asymmetry and nipple appearance Thank you for your question. I don't feel that your breasts are tubular. Tubular breasts have a narrower base and very large areola with herniation of breast tissue into the areola. You really have breast ptosis on the right and enlarged areolae. The reason you like the appearance of the breasts when the nipples are erect is that the musculature within the areola is pulling together and taking up some of the excess skin of the breasts.I would recommend circumareolar breast lift. The procedure involves repairs hidden around the areolar boarders. The excess skin is removed from around the areola reducing its size as well. The skin is undermined and advanced to the new areolar boarder in with a permanent suture under the skin in a purse string fashion. The size of the breasts can be made more symmetrical by removing some tissue from the right side. Initially, you will have some wrinkling around the areola but this will flatten out over time.You mention wanting to be more perky. Whether you are perky enough after the circumareolar breast lift really is what you will think of your results. Getting more perkiness sometimes requires a breast implant. I would strongly recommend that you do the lift first, see how you like it, and then decide if you want a breast implant augmentation. The reason for this is that it is technically challenging to do breast lift and implants at the same time. I, and many other plastic surgeons will do this, but when there are other factors such as asymmetry in size and shape , amount of ptosis, nipple location, it is best to separate the procedures.I wish all the best and happiness to you.
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