Slightly tuberous breasts - Will a straight forward BA with implants give me a good result? (Photos)

Hello, I’ve reviewed your photos and question carefully.In mild tuberous breast anatomy, the main issue is not the size of the breast but the way the lower pole is restricted. When the tissue is tight or the fold is positioned too high, an implant alone may not fully expand that area to create a natural under-breast curve.
If the constriction is subtle, a dual plane placement with careful pocket release can often achieve a soft and natural shape without major modification. When the tissue is more resistant, a limited internal scoring or gentle lowering of the fold helps the implant settle properly and prevents a dome-like look.
These adjustments are small but make a visible difference in shaping the lower breast. Avoiding them entirely may limit the improvement, even with the right implant.
A detailed consultation and measurements will clarify how flexible your tissue is and whether minimal release will be enough for the balanced contour you want.
I hope this helps you understand how careful technique and pocket planning can turn a mild tuberous shape into a natural, well-proportioned result.Güray Yeşiladalı, MD

Click the link below to read about a one stage simplified augment approach for a nice result without scoring or lowering the IMF. In my published study I found;
Correction of tuberous breast deformity (TBD) is traditionally done with a 1-stage breast
augmentation with radial scoring of the constricted breast tissue and/or the lowering of the
IMF. An alternative 2-stage approach first uses a tissue expander to correct the deformity; the
expander is later replaced with a permanent breast implant. Sixteen patients are presented in
which a 1-stage correction of TBD was successfully accomplished with saline implants acting as
tissue expanders. In all cases, the expansion remedied the deformity without the need for
radial scoring of the breast tissue or lowering of the IMF. This approach has not been reported
in the literature.
Sixteen women (32 breasts) were treated, with TBD ranging from mild to severe. All patients
had a breast augmentation with round, smooth saline implants placed through an IMF incision
in the dual plane (partially subpectoral and partially submammary). Implants ranged in size
from 225 cc to 675 cc. The IMF was never lowered and the breast parenchyma was never
radially scored. Three patients had asymmetry requiring breast implants of different sizes, and
one had a circumareolar mastopexy to repair a herniated areolar complex.
Representative case examples are provided. The average follow-up time was 9 months. All
deformities were corrected, and the patients expressed satisfaction with their results. There
were no occurrences of hematoma, infection, capsular contracture, or malposition.
Conclusion: This review has shown that saline breast implants alone, with their inherent
expansion capability, can correct TBD without the increased morbidity associated with radial
scoring and lowering the IMF. For patients who choose saline implants, this single-stage, less
invasive surgical approach can provide a good aesthetic result. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA