I think I have tuberous breasts, will they improve with implants even if the areola is not reduced? (photos)

Question

I always read it's recommended a lift and areola reduction for tubular breasts, but I would like to avoid that. I have no problem with my big areolas, and even a bit of sagging is okay, as long as I get a natural result with the augmentation and no visible scars (inframammary incision if possible). I don't need a drastical change, just impoving the size and the shape to be more aesthetic and proportionate with my body type. Do you think it 's possible? Thank you!

Daniel Barrett, MD · Answer

Dear Madhf,
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

Brian K. Reedy, MD · Answer

Thanks for sharing your photos! Without a lift, you will not get a desirable result. I hear what you are saying, but I would really encourage you to consult with a board-certified plastic surgeon and hear what they have to say. Good luck!

Hampton A. Howell, MD · Answer

Hi.  I would recommend breast implants and a breast lift to bring the breasts into your desired size and an appropriate shape to go with that.  I would recommend consulting with a board certified plastic surgeon with good experience in breast augmentation mastopexy.
Good luck and take care, Dr. Howell

Ram Kalus, MD, FACS · Answer

It would be necessary to evaluate you in person to properly advise you specifically, however based on your photos it would be difficult to achieve attractive breasts without a breast lift, and this would indeed result in scars around the areola and vertical midline of the breast, along with a scar in the fold more than likely.

While we always try to heed our patients’ requests, we also need to share our knowledge and expertise with our patients.

A pretty breast is proportionate to the rest of the body, the correct nipple/areola position and size in relation to the remainder of the breast, and the desired degree of roundness, upper pole fullness, and ptosis (natural droop).

Please consult with an experienced board certified plastic surgeon whose results appeal to you based on his or her Before and After gallery. Best of luck to you.

Antonios Mitsakos, MD · Answer

With realistic expectations you have a have a very decent result post augmentation and tuberous breast release (through the IMF incision both). The shape of the breast can be rounder post surgery but the size of the areola obviously will not change. Because the breast is larger with the implant thought the proportions change and the result is aesthetically more pleasing

Connie Hiers, MD, FACS · Answer

Your breasts are not tubular, but do sag. Just getting implants will give you larger and still sagging breasts. You would do best with a lift and enlargement.

Ralph M. Rosato, MD · Answer

You need to see photo's of someone who just had a BA and looks like you do preop. If you google natural breast augmentation before and after you may find some. Ask your surgeon to show you some as well. Good luck

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your photos, I note that the distance from the top of your breast bone to the nipples is increased, the nipples reside at the level of the fold beneath the breasts, the areolae are enlarged, and you demonstrate moderate sag.Augmentation alone will create larger breasts of the same shape. A breast lift will elevate the nipple areolar complexes into anatomic position and will conify the shape of the breasts at the expense of surgical scars which most often heal quite well. Visit a board certified plastic surgeon for evaluation and discussion.Best wishes...

Gokhan Temiz, MD - Account Suspended · Answer

Hello and greetings from Turkey. The main reason that the breast uplift and implant is the best treatment option for the tuberous breast is because of the sagging tissue. You can have breast implant operation to enhance the size of your breast but for having the best result, the operation should be combined with breast uplift operation.

I think I have tuberous breasts, will they improve with implants even if the areola is not reduced? (photos)

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