Tuberous Breats - Lift + Implant - is 300cc the limit in size for me? (Photos)

Question

Hi doctors, I’m 29 years old and recently had detailed 3D scans and a breast analysis. My surgeon diagnosed me with a mild tuberous breast deformity and advised a combined approach: • A donut (periareolar) lift • A 300cc implant maximum • Plus fat transfer from my arms to the lower breast pole and inner cleavage area to improve contour and reduce the central gap. She mentioned that because of my anatomy, going beyond 300cc would increase risks, and that a second fat grafting session may be needed later—especially to further build the lower pole. While I understand her concerns, I personally would’ve preferred a fuller implant. I’m looking to gather a few second opinions: ➡️ Would you also limit me to 300cc in a case like mine? ➡️ Would a different technique (dual plane, internal scoring, etc.) allow for more volume or projection safely in one surgery? I’d appreciate your input on how you would approach this if I were your patient. My goal is a natural, lifted shape with nice cleavage and soft fullness—not necessarily huge, but balanced and feminine. Thank you in advance!

Wayne I. Yamahata, MD · Answer

It sounds like your surgeon and given careful thought to your condition and has devised a plan that can address your issues. Whether you can safely go beyond 300 cc is a question that is best answered by someone who has personally examined you. At this point I would say to trust your surgeon and follow her recommendations.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  You definitely do have mildly tubular breasts. I have been in practice for over 30 years and breast surgery as well as revision breast implant surgery is a large portion of my practice.  You should be able to have an excellent result with a standard augmentation and mastopexy/lift.  There is absolutely no need for fat transplantation in your case.  You should be able have an excellent result.  Best wishes to you.

Zoran Potparic, MD · Answer

It is not possible to see whether you have narrow base breasts (a type of tuberous breasts) based on these photos, However, you will benefit from augmentation, lift and areola reduction, possibly secondary fat grafting if needed. Volume of 300 ml may be the maximum that you need to keep "natural look". Good luck.

Gary M. Horndeski, MD · Answer

Your biggest problem is your skin envelope. The breast lift technique I recommend is 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. The size of the areolas can be reduced to the size you desire as well. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

TUBEROUS BREAST CORRECTION SURGERY PROVIDERS NEAR YOU

Tuberous Breats - Lift + Implant - is 300cc the limit in size for me? (Photos)

Answers (4)

TUBEROUS BREAST CORRECTION SURGERY PROVIDERS NEAR YOU