What are my chances of having perfect sized round breasts after surgery? (photos)

Question

I would like to have surgery. My main concerns are: - I have considered fat grafting but I have been told I am too thin for that. - What is my degree of tuberous breast? I have been told both III and IV - What would be a good size for someone who is 1.70m and 52 kg, a 63cm waist and 90cm hips? - What are the softest implants in the market? - Will submuscular implants look more natural and be softer?

Daniel Barrett, MD · Answer

Dear noone311,
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

Gary M. Horndeski, MD · Answer

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Warren Schutte, MD · Answer

You do not have true tuberous breasts. A silicone smooth round implant placed submuscularly would give you great volume, fullness, roundness and upper pole fullness that you are currently lacking. You can artistically use the width of the implant to widen out your narrow breast base to get a great look. Perfection is not a term that I use to describe outcomes but I do believe that you are a candidate for breast augmentation. You should be a part of the sizing process to determine size range that you like.

Ram Kalus, MD, FACS · Answer

Thanks for your question and photos. An examination in person would be required to properly evaluate you, however it appears that you would be an excellent candidate for a breast augmentation, with your plastic surgeon able to advise you whether or not it should be subfascial (above the muscle) or subpectoral (under the muscle). If you are concerned about areola width or puffiness a correction can be performed at the same time. Do your research and select a plastic surgeon whose aesthetics seem to align with your own based on his or her Before and After gallery. Best of luck to you.

Donald R. Revis Jr, MD · Answer

Good afternoon,
Your breasts aren't really tuberous but you do have a wide gap. Your best choice would be a donut mastopexy to reduce your areolas, better center your nipples and tighten your skin, as well as a submuscular augmentation with sicone gel implants. We would determine the exact size and profile when I measure your chest, we review photos together, and you have an opportunity to try on the implant sizers here in the office! Silicone implants are the softest, submuscular implants look and feel better, and your chances of having perfectly symmetrical beautiful breasts is entirely up to your choice of surgeons- some are better than others- look around and choose wisely. Just because someone is a board certified plastic surgeon it doesn't mean they perform more than 1 or 2 augmentations a year- ask questions, do your homework, and look at lots and lots of photos!

Camille Cash, MD · Answer

From the submitted photos you have some constriction to the breasts and they are wide set.  After augmentation your shape will be improved but they will remain more wide set.  Sizing really depends on your goals for surgery and what best balances with the rest of your frame.  Many surgeons have sample implants you can "try on" to give you an idea of how you may look after surgery.  I've included a video I hope you find helpful.

Connie Hiers, MD, FACS · Answer

During your consultation, you will be measured and can try on the range of implants that best fits your frame and tissue. There you can see your "perfect size."  Gel implants will be more soft than saline.

Garrett A. Wirth, MD, MS, FACS · Answer

I recommend you work with a Board Certified Plastic Surgeon to further discuss your goals.  Measurements done at that time will help guide the decision process.

Hector Vela, MD · Answer

Hello Noone311, here are some advices:*Forget Fat transfering, even if you had enough volume for doing fat transfer, this will not solve the tuberous breast problem. * Your Breast tuberosity is: On your right breas a type III, based on the lower medial cuadrant and skin deficiency below the nipple areola complex. On your left breast a Type II, based on the lower medial cuadrant and sufficient skin below the nipple areola complex. *You are tall enough to get a large volume implant, but that is better decided during consultation, so you can evaluate how do feel and see your self with an especific volume. *In my opinion for your particular case, I would go for Motiva Ergonomix, as it is a soft gel with an excelent quality. *Finally, a natural look can be achieved by a dual plane or partial submuscular plane.

Douglas J. Raskin, MD (retired) · Answer

Greetings,

It is difficult to have perfect sized round breasts after surgery. This expectation must be discussed at length with your plastic surgeon before you embark upon breast implant augmentations.

Since you are quite thin and your breasts may appear uneven in shape and lateral positioning, your questions and concerns should only be addressed at the time of your examination and consultation(s).

Best Regards,

What are my chances of having perfect sized round breasts after surgery? (photos)

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