How can I fix my puffy nipples? Also, would I be a good candidate for fat grafting to adjust breast shape? (Photo)

Question

Growing up, I thought I had tuberous breasts and once asked a surgeon who told me that I did not. I'm starting to think that the surgeon was incorrect and I do have tuberous breasts. I'm not sure how much fat is needed for a transfer so I don't know if I would be a good candidate. Also, how much can the shape be altered? Could my nipples point forward? Or would they simply move inward? Additionally, could anyone explain a procedure to fix my puffy nipples? I hate them the most!

Alan Gonzalez, MD, FACS · Answer

Hello @magicalmbeth, thank you for your question. A breast fat transfer or Lipotransfer can help a patient obtain a better breast shape. By transferring fat to the breast, the patient can achieve a more harmonious look with a better ratio between the size of the areola and the shape of the breast. There is typically minimal scarring associated with this procedure. If you are considering a breast Lipotransfer, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS

Gary M. Horndeski, MD · Answer

Your breasts are widely separated and the nipples are pointing outward. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear magicalmbeth
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

Connie Hiers, MD, FACS · Answer

You do not have tuberous breasts. Implants placed behind the muscle would help enlarge your breasts and minimize the puffy nipples as they were stretched. Your nipples will still point outward since this is your anatomy, but some improvement could be made.

Mats Hagstrom, MD (license on probation) · Answer

You have pretty normal looking breast. The one thing that stands out is that your breasts are divergent. Augmentation especially with implants that create projection will make the divergence look worse.
You could consider an areola reduction but personally I think your breast look fine.
Best,
Mats Hagstrom MD

How can I fix my puffy nipples? Also, would I be a good candidate for fat grafting to adjust breast shape? (Photo)

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