21, tubular breasts. Can they be fixed without implants? (photos)

Based on your photos, I would initially think that you can achieve a nice improvement in breast shape without an implant.  You would need an extensive breast lift with rearrangement of your existing breast tissue.  If your breasts seem too large for you, then a reduction could be performed through the same lift incisions.  The tuberous shape is due to constricting fascia that limits breast development to a more narrow, central area behind the areolae.  By releasing this fascia, we can allow the breast tissue to spread more widely and evenly, creating a better shape.  However, usually an implant is placed in order to fill out areas where your own tissue is deficient. But with relatively large breasts, it may be possible to just reposition what you already have.  Seek out an aesthetic plastic surgeon with experience treating tuberous breasts.

I would recommend a Wise pattern breast reduction.  This will result in scars around your areola, down to your inframammary fold, and then along your fold.  The areola will be much smaller and you should have nice symmetry with the areolas and nipples in front of your breast.  If you desire more volume after this, you can have an implant placed at a later stage once everything.  

Thank you for your question and photo.  To get the best result possible and to correct for your ptosis, a full breast lift is needed.  Given the fact that your breasts already have a significant amount of volume, it does not appear that implants are necessary.All the best,Dr. ResultsMiami, FL

I don't think you need an implant.  Judging from your "wish photos" I think you have realistic expectations and I think a breast lift is likely to give you the result that you are looking for.Avoiding an implant is very sensible and my suggestion would be to have a lift.  In the unlikely event you find that you would like increased fullness once you've had a lift, then it is a fairly straightforward and predictable procedure to have a breast augmentation.  Although this approach means you might have two operations, it is not likely and if you do then your results will be more predictable and with much less risk of complications.I don't think fat grafting or any other surgery that doesn't involve a lift will give you best results.Kind regards,Dean

I believe your breasts can be improved without implants. Implants only make breasts larger, and you are happy with the size of your breasts in your bra. A breast lift is designed to improve your shape and make your breasts look full and natural. When you go for consultation, ask your plastic surgeon if he or she performs the I.D.E.A.L. Breast Lift. For before and after photos of women similar to you, click on the link below.