How Do I Go About Getting More Attractive Breasts? (photo)

Im 24, 34C, no kids, and I dont like by breasts. They look similar to the first and second picture and when cold like the third picture. when warm or relaxed I guess. they look great when im cold or during arousal(3rd pic). But I dont feel sexy just walking around topless in front of my boyfriend of 5 years. I'd like to go to a Medium size D or a Full D cup but I want sexier nipples.....(4th pic) please help, what do I need to do......

Doctor Answers 14

Attractive breasts

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Thank you for the question and photos.  Attractiveness of a breast differs from one person to another.  Based on your photos, you would be able to benefit from breast augmentation wherein you can increase your breast size, reduce your areola, and fix your tuberous breasts.  It would be best to visit your board-certified plastic surgeon and get a full assessment. Best of luck. Dr. Michael Omidi.

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 122 reviews

Tubular Breast Deformity Common

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Breasts come in all shapes and sizes and significant variations in breast contour are common amongst women.One of the more commonly seen breast variants is the tubular breast deformity.This is also frequently referred to as a constricted breast deformity.
The condition occurs because of constriction of the skin at the base of the breast.This often results in herniation of the breast tissue through the areola which creates a unique breast shape.The vast majority of constricted breast deformities are relatively mild and treatment may not be necessary.Severe cases of this condition occasionally occur and do require treatment because of the magnitude of the breast deformity.A variety of approaches can be used to correct this problem.Treatments should be individualized based on the specifics of the anatomic deformity and the aesthetic goals of the patient.
Based on your history and pictures, I believe you probably have a mild tubular breast deformity.If you have continued concern about this issue, consultation with a board certified plastic surgeon would be appropriate.This surgeon should be able to address both your unique anatomic findings and aesthetic concerns.

Tuberous Breasts With Breast Enlargement

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It sounds like you may have tuberous breasts. Typically, breasts are comprised of evenly distributed tissue while tuberous breasts are characterized by tissue that is concentrated directly underneath the protruding nipples. Because of this, a common treatment technique involves releasing this constricted breast tissue by making internal radial incisions that allow it to splay out properly. These incisions are done internally so you won't see anything externally. Implants can be placed at time of your surgery to enhance their size.

Puffy nipples and breast augmentation

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Thank you for your question and the photos.

What you describe likely represents "herniation" of the nipple with or without tuberous breasts.

If you are going to undergo breast augmentation, then your nipples can be corrected at the same time by approaching your breast augmentation through the areola with an incision all the way around the nipple, 360 degrees.

This will reduce the size of the areola, give an opportunity to correct the puffiness of the nipples, and serve as the access point to place your implants.

This can be a difficult surgery in the hands of an inexperienced plastic surgeon.  Make certain that your plastic surgeon is experienced, very comfortable addressing all of the things you want accomplished and board-certified by the American Board of Plastic Surgery.

I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 221 reviews

Correction of Tuberous Breasts is Very Successful

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Hi there-

Without consulting with you about your goals, and examining you, it is very difficult to responsibly make recommendations to you.

It sounds like you have tuberous breasts, with nipple/areola pseudo-herniation. This can be greatly improved through modern plastic surgical techniques.

Your best bet is to find a surgeon Certified by The American Board of Plastic Surgery who you like and feel you can trust and visit for a consultation.

Protruding nipples/areolae

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If you look like the first photo then the correction to enlarged, protruding nipples is to have a nipple/areola reduction which is basically like a donut lift (aka, peri-areolar breast lift).  Removing a strip of tissue from the outside of your areola will decrease the diameter of your areola and help flatten it out.  The trade-off is a scar that goes around the outside of the areola.  If you would like to add volume to your breast at the same time, a breast implant could be inserted through this same incision.

Edwin C. Pound, III, MD
Atlanta Plastic Surgeon
4.6 out of 5 stars 26 reviews

Surgery can be done for both requests

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Your request actually covers two issue, what to do about the nipples and can you have an implant at the same time. The answer is yes.  You will most likely be happy with a nipple reduction that ends up withi a scar that goes all the way around but reduces the size of your areola.  Through that same incision you can have animplnat plced under the muscle.  The final cup size will depend on the size of the implant you and your surgeon choose.  it makes sense and shold give you the confidence you want in your relationship.

Tuberous breast deformity

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If you have a component of tuberous breasts more than likely you will need some sort of areoal reduction and permanent suture placement internally to treat this. Howver without photos or an exam it is hard to say.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Tuberous Breasts

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If your breasts look like the first two pictures you will need an areola reduction that will give you a scar that goes all of the way around the areola.  This scar will usually heal quite nicely.  Implants can be placed at the same time.  This will help correct the major issues that seem to be bothering you.  The down side is the scar and high risk of loss of sensation to the nipples from the surgery.

Gary Hall,MD

Gary Hall, MD (retired)
Kansas City Plastic Surgeon

Protruding areolas, herniating nipples, turberous breast problems

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all of the answers below are accurate. 

the goal for you would be to reduce the areola in size and back into the breast as much as possible.

these are challenging cases to even the most experienced doctors but you should be able to achieve

a nice improvements/

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.