I need other opinions, do I have mild tuberous breasts and would a correction with implants alone help? (Photos)

Thank you for your question and photos. İmplants alone you are a good candidate for breast implants without lifting.

Breast implants are medical devices implanted under the breast tissue or chest muscle to increase breast size (augmentation) or to replace breast tissue that has been removed because of cancer or trauma, or that has failed to develop properly because of a severe breast abnormality (reconstruction).

The FDA has approved implants for increasing breast size in women, for reconstruction after breast cancer surgery or trauma, and to correct developmental defects. Implants are also approved to correct or improve the result of a previous surgery.

The FDA has approved two types of breast implants: saline-filled (salt water solution) and silicone gel-filled. Both have a silicone outer shell and vary in size, shell thickness, shell surface texture, and shape (contour).

Hello, thank you for your question. Based on your photos, you do not appear to have tuberous breast. You may benefit from a breast augmentation. Your board certified plastic surgeon will be able to guide you to the correct size implant measurements and desires measurements of the chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Try on a profile bra with various silicone cc sizers your PS recommends under a tailored blouse, tank top, bikini, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. Select the size that boosts your self-esteem, and fits your anatomy.  Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision.

Tuberous breasts are the most severe form of what is categorized as constricted breast deformities. Based on your pictures, you have a milder version of breast constriction. In my opinion, you can just start with a breast augmentation without a lift. As long as you don't try to go too large and choose an implant base width that fits your current breast dimension, you can get an acceptable result. I am not a big fan of trying to lower the breast folds when they are mildly constricted as this can often times create a double bubble or abnormal fold in the bottom of the breast. 

Thank you for sharing.  The images do not suggest severe tuberous breasts.  See you local board certified plastic surgeon who can discuss probably a straightforward breast augmentation plan.  Best wishes!

Hi.  I would certainly not consider your breasts to be tuberous.  They do appear slightly constricted inferiorly.  But most of the time with either some internal loosening of the lower breast tissues (referred to as scoring) or just general relaxation of the tissues through the healing process from placement of breast implants, you should see improved shape.  You have some mild asymmetry of the nipple position, but that is very commonly seen and I would not suggest doing a breast lift initially.  A version of a breast lift referred to as a periareolar mastopexy can help flatten the conical shape of the breast if it ends up being a little more than what you desire, but that is at the cost of a scar that goes all the way around the areola.  That typically heals nicely, but my expectation would be that you likely would not need that and it would probably be better to wait until you have gone through the healing process before making that decision.  That can be a fairly straightforward procedure after the fact, if needed.  Good luck and take care, Dr. Howell

Your breasts are low on the chest wall and asymmetrical in volume, shape and position.  The technique I recommend is a lift using The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices.  8% fail within the first year and 30% fail within six years.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

Hello, thank you for your question and provided information as well..
Based in your question and the pictures you showed, you dont have tuberous breasts and you are a great candidate for a breast augmentation. You may want to consider breast augmentation sub muscular. 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.   
Best of lucks.
Dr. Luis Mejia.

Thanks for your question and the photos. A tuberous breast is elongated, has a large dilated areola, droop and a high fold. A tuberous breast looks like a snoopy dogs nose. A constricted breast is somewhat conical in shape and has a very short distance from the nipple to the fold.  You do not have a tuberous breast. You have a bare hint of a conical shape if any. If a patient is conical after an augmentation a periaroeolar tightening can flatten the areola to blend better with the breast.In a situation such as your I usually just place implants, allow then to drop and settle for 6 months. I suspect that is all you need. A lift could always be added later if needed.

Your left breast is more ptotic or droopy than your right, although not a lot.  You may do fine with just an augmentation, but will probably still have some asymmetry of your nipple position.  If this bothers you, you might need a small lift in the future.
Good luck,
Dr. T

Dear caligal30892,
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