Is it possible to fix the conical shape of tuberous breast without implants or are implants generally recommended?

#TuberousBreast have been labeled with a variety of names
and conditions. These include the following: #TubularBreasts,
#ConstrictedBreasts, #PuffyNipples, #SnoopyBreasts, #ConicalBreasts

Surgical considerations:



Location of incisions

One or more stages

Tissue expander

Type and shape of implant  This will be determined by the shape of your breasts , desires, size and these other issues

Pocket placement

Type of lift

Type of areola correction

Tuberous breast deformity involves a constricting ring that grows around the breast base. This ring stops the horizontal and/or vertical expansion of the breast, leading to constricted appearance with large areolas and irregular nipples. Surgery is necessary to release constricted tissue, and implants may be placed to enhance volume. The surgery does not have to involve the placement of implants, however you may not like the size of your breasts afterward. If you prefer an implant, then they are typically placed in the sub-mammary position to better influence your breast’s shape and to add greater volume. However, this all depends on what your surgeon recommends based on a physical examination. 

Thank you for your question!   Given your photos, it does appear that you have a mild tuberous breast/constricted breast deformity.  The standard procedure would be placement of an implant (or tissue expander, depending on the lower pole of your breast) as well as a circumareolar breast lift.  These modalities would correct the issues with tuberous breast: constricted breast at the inferior pole, via breast prosthetic; scoring of the tissue to release the bands; lowering the inframammary fold; correcting the herniation of breast tissue into the areolae; and decreasing the overall size of the areolae.  These are the hallmarks of tuberous breasts.  You could likely get great results with an implant and possible breast lift.  The type of implant will be personal preference - your surgeon will discuss the various types of implants with you.Consult with a plastic surgeon well-versed in breast surgery and discuss your goals and expectations.  S/he will then be able to examine and discuss the various options and assist you in deciding which decision os the right one for you, given your desires.  I would expect a very pleasing result for you!  Hope that this helps!  Best wishes for a wonderful result!