Mild Tuberous Breast correction. Getting Breast Aug, but do I really need an areolar reduction?

Your breast shape and areola size looks great.  You do not have ptosis or a droopy breast and I agree with you: why place those incisions around your areola if you do not need to?The photos illustrate what appears to be an excellent candidate for breast augmentation.  consider highly cohesive gel implants or gummy bears as they are by far the best implants in my opinion offered.  These are the 5th generation implants, like those from Sientra.

Thanks for the question. I don't recommend an areolar reduction due to the inconsistency the outcome. Your breast will look fine with the mastopexy alone.All the best,Dr. ResultsMiami, FL

For most cases a constricted breast can be treated by a a sub glandular implant with a mastotomy alone. Mastopexy is not needed and from the photographs I don't think you need a mastopexy.

Mmelbear,Its difficult to tell for sure from your photos, and I would have to examine you, but you may not have tuberous breasts. In that case, a straight forward augmentation would work fine.It always helps to get a second consultation from a plastic surgeon if you are not sure about the situation.I hope this was helpful,Dr. Daniel BarrettPlastic SurgeryBeverly Hills, CA

Hello,Keep in mind that an areolar reduction is really a lift that reduces the surface area of your breast skin envelope, and breast augmentation increases the volume of the breast, and therefore expands the skin surface area.  These are two competing processes, and the resulting closure will be tight. If you are concerned about scaring, you should know that your scars are likely going to be worse (and you're likely going to see more areolar expansion) if you do them simultaneously.  For many tuberous breast patients, staging (if necessary) of the augmentation and lift is a wise decision.  For those that think that they want just one surgery, they should know that there is a high percentage of tuberous breast patients that end up with two or more surgeries, many unplanned. Because of the difficult nature of the deformity, it's best to be cautious. Best of luck, I'm sure you can get a great result!