Could I try a breast lift without implants? 28 years old (Photo)

Question

I’m a 5’7 girl with 75kg (165lb). I have tuberous breasts and always dreamed with a B cup or even an A cup, but don’t want implants. It’s possible? I don’t have kids but I feel like my boobs are too big for my lifestyle and I personally don’t like their shape. Also they are saggy since when I was teenager. I just with they could be really smaller and lifted, with small aureoles, an A cup would be perfect, but a B cup could be too. Give your opinion, please!

Finny George, MD · Answer

Hi, thank you for sharing your question. You  are a great candidate for a breast lift and a small reduction to achieve your desired goal. You don’t need any other procedure. I hope this helps.

Albert Ko, MD · Answer

Hi there, Thanks for your question! You can absolutely do a breast lift without implants, as long as you are comfortable with a smaller cup size, because we can only work with the breast tissue you have! I think a mastopexy along with areola reduction would give you a really nice A cup breast shape. Hope that helps!

Wayne I. Yamahata, MD · Answer

Yes, it appears that your goals should be achieved with breast lifts, including small reductions for symmetry. With your modest volume goals, implants should not be necessary.

Gary M. Horndeski, MD · Answer

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Warren Schutte, MD · Answer

Your goals should be very attainable with surgical correction. A small breast reduction would lift breasts into appropriate position on your chest wall and removing some breast tissue would give you the A-B cup that you desire. A reduction/lift will also help symmetrize and create a round, less tubular shape. 
You would only place an implant if you wanted more breast volume. 
Good luck on your journey!

Miguel Mota, MD · Answer

Hello and thank you for posting! You do not need implants if you do not want them. Plus, if you want a max size B cup, then adding implants might be a little counter productive.

I believe you would benefit from a combination of the following for breast symmetrization:
-1. A small circumferential lift (peri-areolar lift) on your right breast, lifting the breast slightly and more importantly, reducing the size of your areola. The scar would be around the areola only. Maybe a lollipop lift.
-2. A reduction/anchor lift on the left breast. This scar would be around the areola, then vertically down the middle and then a small scar across the breast fold.

A reduction/anchor lift on both breasts is a possibility, but I fear it might make the right breast a bit too small.

Best of luck.
Dr. Miguel Mota

Ronald J. Edelson, MD · Answer

You can definitely do just a breast lift. You can always add an implant later if you like.,just bear in mind that your breasts will end up smaller than you anticipate

Scott W. Vann, MD, FACS · Answer

I do not think your breasts are tuberous but you do have some bilateral mild sagging with large aerola and asymmetry. You do not need implants. You would do well with a bilateral lift with small reduction to gain symmetry and get the smaller aerola and breast size that you want. Good luck.

Daniel Barrett, MD · Answer

Dear Sensible828413,
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

Connie Hiers, MD, FACS · Answer

First, you do not have tuberous, shaped like tubers breasts. Second, reducing you down to an A cup will be too risky to the nipple. Also, you may not really understand how small an A cup is. You are probably a D on the larger side and a C on the smaller. You can have a reduction, which includes a lift, to raise and reduce your breasts and make them more even.