My Nipples Seem Weird, Puffy, and Stick Out. I Havent Had Surgery? (photo)

Because there is a wide range of conditions
(appearances) from mild to severe, the surgical treatment for
#TuberousBreastDeformity or #TBD .will
vary but can include: implant alone, and
the correction of the areola.

Your photographs show tuberous breasts with herniation of the tissue around the areola.  You would benefit from a technique called The Mini Ultimate Breast Lift.  Using only a circumareola incision, it is possible to decrease the puffiness around the areola, lift your breasts higher on the chest wall and displace them more medial to increase your cleavage.  This will reshape your breasts into a normal configuration that is more attractive.  If you are interested in implants, that can be done at the same time to increase your size.

Best Wishes,

Gary Horndeski, M.D.

What you see is really a protrusion of breast tissue concentrated just behind the nipple and areola, which often stretches the areola over time and bulges the whole area forward.  This condition is a variant of tuberous breast syndrome, in which the breast tissue only develops in a narrow area centered behind the areola and nipple, and does not develop much toward the outer regions of the breast.  This condition can be corrected nicely with an outpatient surgery in which the protruding breast tissue is reduced backward and spread out toward the outer regions of the breast.  The only scar would be a circular scar right at the border of the darker areola with the surrounding breast tissue.  Often, a breast implant is inserted through the same incision at the time of surgery to enlarge the breasts all around.  Your condition is seen more frequently than you might expect, and the surgery creates a very nice, normal appearance.

The puffiness that you see is a normal variant of the breast known as a tuberous breast. If your breasts are still changing and evolving from puberty, this puffiness may improve. However, if your breasts have reached maturity and you wish to improve this, surgical resdistribution of the breast tissue (commonly accompanied with a breast implant) is an option.

You have a mild variant of what we call tuberous breast where the breast tissue is actually protruding through the areola. You should do very well with augmentation.