What other approach/technique is recommended for mild tuberous breast other than a areolar reduction?

Hello,You are NOT overthinking these issues regarding breast augmentation in the tuberous breast.  In fact, these are very real issues that frequently require reoperation or 'minor adjustments', more common than breast augmentation in the non-tuberous breast.  Breast augmentation with areolar reduction are two opposing procedures: the implants enlarge the volume of the breast and stretch the already tight, inelastic breast skin, and the areolar reduction serves to reduce the areolar area, thereby further tightening breast skin that is already under tension.It is not unreasonable to undergo breast augmentation without areolar reduction, with the understanding that a second surgery will be performed some time in the future, after the breast skin has expanded and relaxed.  Regardless of your breast shape, you should reconsider having breast augmentation if you do not accept the fact that a second surgery will be required sometime in the future, even without surgical complications.Another word of caution.  As I previously mentioned, your breast skin is inelastic and tight, a hallmark of the tuberous breast, and it will not stretch that much.  If an inappropriately large implant is placed, your natural inframammary fold will lift off your chest wall creating a contour defect known as double bubble. Please limit the size of the implant, at least during the initial surgery.  Larger implants can be placed in a subsequent surgery without this problem.

Consider the breast augmentation and areolar reduction as a 2 stage procedure.  Depending on how  big you go, the stretch from the implant may widen the periareoler  scar if done together.

I do not believe that you are overthinking this....it is a very reasonable question. However, in your case breast augmentation alone without areolar reduction will probably not provide a very pleasing result. I would trust your surgeon's opinion on this.

Thank you very much for sharing your concerns with us.After having analyzed all the information and photos provided to us, i can identify that you have a underveloped and mild tubular Breast. I recommend you perform a Tubular Breasts Correction with Breast Augmentation using silicon implants, at the same surgical time.There is a surgical technique for Tuberous Breasts correction, by which it is arranged the tuberous areolar ring from inside, without requiring areolar reduction. In this technique we also need silicon implants, to get a better Breast volume and projection.Therefore it is very important that the plastic surgeon who will perform the surgery, has the skills and vast experience in this type of procedure.Respectfully,Dr. Emmanuel Mallol Cotes.-

Thank you for your question! Given your photos, I do agree that it does appear that you have a mild tuberous breast/constricted breast deformity. For such a deformity, the standard procedure would be placement of an implant (or tissue expander, depending on the lower pole of your breast) as well as a circumareolar breast lift. These modalities would correct the issues with tuberous breast: constricted breast at the inferior pole, via breast prosthetic; scoring of the tissue to release the bands; lowering the inframammary fold; correcting the herniation of breast tissue into the areolae; and decreasing the overall size of the areolae. These are the hallmarks of tuberous breasts.While sometimes challenging to correct, I believe that you can get an excellent result, with your photos shown.  Consult with a plastic surgeon well-versed in breast surgery and discuss your goals and expectations. S/he will then be able to examine and discuss the various options and assist you in deciding which decision os the right one for you, given your desires. I would expect a very pleasing result for you! Hope that this helps! Best wishes for a wonderful result!