Is there a surgeon in the San Antonio area that specializes in tuberous breast for augmentation?

I do not think you will find someone who "specializes" in it as much as someone who is skilled at it.  I find that a circumareolar tightening is an important part of the procedure to reduce the herniated breast tissue.  If a PS has a large breast aug component to his ir her practice, he or she ought to be able to help.Good Luck!

Thank you for the important question; careful selection of plastic surgeon will be the most important decision you make.
 Although I cannot provide you with specific names, I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. 
***Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done. Basically, patients should look at the overall "quality" of the outcomes achieved;  in other words, it will be important that patients see lots of examples of outcomes that they would be pleased with.  In doing so patients will be able to get an idea of each  plastic surgeon's "aesthetic sensibilities". 
 Generally speaking, some of the characteristics seen with tuberous breasts include a very narrow base, short distance from areola to inframammary fold, tight (constricted) lower pole of the breasts, relatively wide space between the breasts, "puffy” areola and some degree of ptosis (drooping). 
Generally, correction of tuberous breast anomalies involves breast augmentation with areola reduction / mastopexy procedure. The distance from the inframammary fold is increased (to create a more rounded out appearance). Proper implant positioning improves the distance (cleavage) between the breasts. The areola reduction helps to treat the pointed and "puffy" appearance of the areola.
I hope this, and the attached link (dedicated to corrective surgery for patients with tuberous/constricted breasts) helps. Best wishes.
 
 

Thank you for your question. Finding the proper surgeon is critical to the success of your tuberous breast surgery. You need to find a surgeon certified by the American Board of Plastic Surgery who specializes in cosmetic and reconstructive breast procedures. The ASPS website will provide a list of properly trained surgeons in your area. You should go on several consultations and see which surgeon you like best. Ask to see a lot of before and after pictures of their work. Hope this helps.