Follow-up to previous question: What's the difference between tuberous breasts and regular, saggy breasts? (Photos)

Thank you for
continuing to reach out for information and for posting photos. As others have
noted, "tuberous" refers to a specific diagnosis of a deformity,
rather than breasts that are sagging. It is difficult to say with any certainty
whether you have tuberous breasts or not, but it does appear clear that a
breast lift with areolae reduction could reshape your breasts in a way you
would like. If you are happy with the size of your breasts, there is no need to
get breast implants or fat grafting. As for your concerns about scarring from a
breast lift, it is my experience that patients who are disappointed with the
appearance of their breasts are much happier after having mastopexy even though
it involves incisions. The improved shape is simply worth the tradeoff. And
there are excellent treatments available these days to minimize the appearance
of scars. Good luck with your decision.

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation.  Always insist on a board certified plastic surgeon.

In my opinion a wise-pattern mastopexy with an implant for the size of the breast you want would be the best option.   (you speak of the breast you want but not illustration is given, I find the breast one woman wants is different for what another may want.)  First, a wise pattern lift is the only option that will increase the length of the shortened skin below the nipple region, typical of a tubular shaped breast.  (Remember that "tubular shaped breast" is a breast shape with multiple features, short distance from nipple to bra line, longer interval from clavicle to the nipple, enlarged and rounded nipple areolar complex that is usually disproportionately larger that the size of the breast.  No all feature need to be found one every single breast called a tubular shaped breast.)Scar will be necessary to decrease the size of the nipple areolar region and lengthen the distance between the nipple and the bra line.  A lift that only consisted of a areolar reduction will not give you the length needed and result in a smaller nipple areolar region that is close to your bra line.  I not sure of any value of fat grafting. Fat grafting only fill in areas of deficits.  You can't use fat grafting to successfully fill out the lower aspect of the breast and stretch the skin to the length you needs.  Just isn't going to happen.  Having  scar to get a better shaped breast is the only option.