I do not want a lift implant over or under the muscle for tubular breast
This is the route, in my opinion, for the most natural look- for any cosmetic breast surgery. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA
Almost all tuberous breasts will need reduction of herniated, large areola. For that reason circumferential scar around areola is standard approach. Significant shaping of breast tissue to neutralize narrow, tubular shape, is needed to create more natural breast tissue distribution. Placement of the implant is usually partially underneath the muscle. Good luck.