Will my breasts stay cone shaped/pointy with puffy areolas after surgery? (photos)

Question

I understand that what you start off with will shape what you end up with after breast augmentation surgery. I am very concerned that my breasts will just be bigger cones/points and not round out. I have been recommended 375-450cc round high profile implants with dual plane placement.

Marshall T. Partington, MD, FACS · Answer

The choice of implant and the technique used to place the
implant has a lot to do with the final shape of the breast. Giving your
pictures, I would suggest you consider a round moderate profile implants placed
over the muscle. This will contribute to the roundness of your breast without
promoting more cone shape. Your recovery will be easier than under the muscle
and you will not have animation deformity from the muscle flexing and twitching
the breast.

Dean Trotter, MBBS, FRACS · Answer

Usually the breast will stretch due to the implant, initially it will be firm and somewhat tight but then it tends to soften, feel softer and look more natural once again (unless you choose excessively large implants).  As part of this stretching and softening process the shape tends to change and the conical shaped breast will become more rounded, particularly in the lower breast.You're breasts are symmetrical and very natural in appearance and therefore you are likely to have an excellent result with most methods of augmentation you and your surgeon choose.All the best,Dean

Damien Grinsell MBBS, FRACS (Plast) · Answer

Hi. The answer to your question is twofold. The shape of your breast will become softer and more rounded with a round implant. A teardrop will tend to be more conical. Your areolae are normal. However the 'puffiness' will be bigger and more noticable postop.  If you want more lower pole fullness then a dual plane 2 should be used. 
Regards
Damien

Paul Vitenas, Jr., MD · Answer

Thank you very much for your question and
photographs. Properly sized breast implants will have the ability to reshape
your chest and add needed volume. This should improve the cone shape of your
breasts. It is important that you choose an experienced board certified plastic
surgeon for your breast augmentation. He/she will be able to recommend the best
type/size/placement of implants to achieve your desired aesthetic results.

Terrence Scamp, MBBS, FRACS · Answer

Hello there The shape you get after augmentation is a combination of the implant shape and your own shape .You have a pretty breast shape so I would expect an attractive result in your case .Round implants will tend to round out your breasts so I think you can proceed with confidence .All the best TS

Michael Horn, MD · Answer

Thank you for your question. Your breasts may be odd looking because your skin has been stretched over them.  Don’t worry, this is likely temporary.  If your breasts look like torpedoes, your implants probably haven’t “dropped” yet.  The lower half of each breast is probably still tight, forcing the breasts into a high, hard-cone shape.
  
In the weeks immediately after your breast implant surgery, you may think your breasts are too big, too small, too round, not round enough, too square, too high, too low etc. This will pass in time.  If your implants were placed under the chest muscles, it may take some time for the muscles to relax.  If you are right-handed, your right breast may not drop as fast as your left one.

John L. Burns Jr., MD · Answer

Over time you will notice a more full lower pole and roundness to the bottom of the breast which will decrease the cone shape you are describing.

Jerome Edelstein, MD · Answer

Hello,Thank you for your question and photos. You are correct in that your unique anatomy is not likely to change much, however breast implants do often help to round out the breasts. You may want to consider a moderate projection implant to avoid excessive projection and upper pole fullness of your breast. I recommend that you discuss your goals and expectations again with your Plastic Surgeon.All the best

Ted Eisenberg, DO, FACOS, FAACS · Answer

You are right that the shape of your breasts will be the same after breast augmentation as it is was before. However, overall, I believe your breasts will be rounder and improved as a result of the surgery. To see pictures of women with similar shape and their post-op pictures, click on the link below. For more information on this and similar topics, I recommend a plastic surgery Q&A book like "The Scoop On Breasts: A Plastic Surgeon Busts the Myths."

Nana N. Mizuguchi, MD, FACS · Answer

You have beautiful shape to your breasts that makes your puffy nipples less noticeable.  Breast augmentation may not change the areolar complex but will improve the overall appearance of your breasts.Best Wishes,Nana Mizuguchi, MD

Will my breasts stay cone shaped/pointy with puffy areolas after surgery? (photos)

Answers (14)

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