Tuberous breasts and double bubble risk: What procedure do you suggest?

Thank you for your question. In my opinion, you will need conservative silicone breast augmentation including areola reduction combined with circumareolar lift. Also the inframammary fold needs to be lowered and contoured and the lower breast needs to be scorred and released for lower pole expansion. I hope this helps. Best of luck.

From your photographs it does appear that you have some of the elements of what we would call a "tuberous breast". The tuberous breast usually consists of a very constricted or narrow base with a large areola with some amount of extra breast tissue behind the areola. The correction of this breast anomaly usually requires some type of circular mastopexy to change the pointed configuration of the breast to one that is more rounded. Also, because the infra-mamary crease is higher than one would like, this crease likewise needs to be lowered. If lowered too much, the risk is one of a double bubble, where two contours are seen at the bottom. One from the old crease and the lower one where the implant is. If one can raise the nipple a little bit, then less lowering of this crease will need to be done. Therefore, in my hands, the appropriate operation is a circular breast lift or mastopexy with a silicone gel breast implant. You need to be careful in the selection of the size of the implant as this is critical to the outcome of this procedure. Since some skin, of necessity, will need to be removed to move the nipple upward, and there is usually a paucity of skin in the transverse direction anyway, a large implant may necessitate coverage by skin that is no longer there. I would tell our patients that there are some limitations in size if this operation is to be successful. Years later, after the skin is more stretched, a larger implant may be able to be placed. I would recommend you find a board certified plastic surgeon with demonstrated experience in cosmetic breast surgery. Best of luck.

Hello, I think that you will get the best advice from in-person assessments.  Often for tuberous breasts I use a shaped implant in a subglandular plane, combined with a breast lift.  However, each person is unique.