Follow-up: Will round implants make my cone shaped breasts round? (photo)

It is difficult to determine this from the one picture presented, but this may be a reasonable plan.

I appreciate your post and pictures!



Constricted or tubular breasts tend to be too narrow with a breast crease that is too high. Tight ring-like bands of tissue around the areolae and nipples may create the appearance of protruding or puffy areolae. A higher than normal breast crease may make your nipples appear to be too low or down pointing. Constricted breast features can be very mild or severe. In fact, mild variations are relatively common. To summarize, the features can include:





•   Inframammary fold (breast crease) too high



•   Inframammary fold misshapen



•   Breasts too narrow (disproportionately narrow base width)



•   Insufficient breast skin



•   Constricted or tubular shape, resulting from tight bands of tissue within breasts



•   Protruding or bulging appearance of areolae (pigmented area around nipples)





Improvement is possible and generally includes a breast augmentation, sometimes combined with a lift (mastopexy). The lift is usually limited to an incision around the areolae. During the procedure, I release the tight, constricting bands from the inside, allowing the skin to expand properly. I also lower the inframammary fold to a more ideal position and improve it’s shape. Breast implants help create the right amount of volume and improve breast contours, resulting in a more rounded or tear drop shape. In some cases I have been able to fix this with just fat grafting in milder cases.





The best way to assess and give true advice would be an in-person exam.





Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.





Best of luck!





Dr. Schwartz



Board Certified Plastic Surgeon





#RealSelf100Surgeon





#RealSelfCORESurgeon

Thank you for the question. Round implants may help change the shape of your breasts if they are tubular shaped. The photo you provided shows very little of your breast shape. Ideally you should see a board certified plastic surgeon with experience operating on tuberous breasts for best results. Best of luck and Happy New year!Dr. Khuthaila 

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  If you have tuberous breasts, this can be improved with an implant and release of the lower pole constriction bands.   The size,
profile, and shape of the implant is based on your desired breast
size/shape, your chest wall measurements, and soft tissue quality. 
This decision should be based on a detailed discussion with
equal input from both you and your surgeon.   Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their
results.   The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Based on your one photo it is difficult to tell why breast shape you have. If there is a cone shape to the breast than some implants can help reshape the breast a bit to a more round look. If there is a tuberous breast shape other procedures may be needed to help improve the shape. Start with a consult to help guide your plans 

Thanks for your question.  I true "tuberous" or cone-shaped breast will not be made round by a breast implant alone.  Specific techniques are necessary to release the tight lower pole and inframammary fold in these cases.  From your photo it is difficult to evaluate exactly what will be necessary to achieve your desired goals.

The one view you posted does not provide enough information regarding the overall shape.  Best to be evaluated in person.