Would anatomic implants without areola reduction surgery look good? (Photos)

In the end, it's your body and you must choose treatment that you're comfortable with. Your surgeon has fulfilled his/her/their informed consent responsibility by warning you that your result may be disappointing without areola and peri-areolar skin tightening, which is quite true. It's also true that areola reduction and peri-areola skin tightening can be performed later if desired. Your breasts are tuberous and your augmentation is among the most demanding because of tight lower breast skin and fibrous bands that must be carefully managed to achieve the naturally beautiful breast shape you want.

Dear Generous105144,
tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery