What's the best technique to improve tuberous breasts? (Photo)

The reality it that primary augmentation with implants, especially when combined with a lift of any sort, and/or delivery of the implant through a peri-areolar incision, has a greater than 50% reoperation rate. Although an implant is ultimately the goal, along with some sort of li possibly, ideally the first step in the process is fat grafting to the lower pole and inframammary fold of the breasts. This addresses the heart of the problem: insufficient soft tissue and skin formation in the lower pole of the breast. This first step both expands and augments that tissue with your own tissue (fat), making the resulting breast a much better candidate for an implant.

Thank you for your question and photos. An examination in person would be necessary to properly evaluate you and make specific recommendations. That said, based on your photos, it appears that you would be an excellent candidate for an augmentation mastopexy (breast lift with implants. This can theoretically be accomplished with purely a circumareolar scar that is generally well concealed and minimally conspicuous.

Please consult with an experienced board certified plastic surgeon whose aesthetics align with your own based on his or her before and after gallery, and whose reviews resonate with you. When in doubt, a second opinion can always be of value. Best of luck to you.