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

If you are happy with the size of your breasts, there is no reason to place implants.  The shape can be corrected and the volume of your breasts would be the same, your breasts would just be more round with less protrusion of the nipple areola complex.  If you do desire added volume, then implants can be placed.  I would recommend that you be measured and evaluated by a Board Certified Plastic Surgeon to determine what implant would be best for you.  The choice of the type of implant would depend on how much lager you would want to be, as the diameter of the implant will vary depending on how much volume you end up choosing.  Good Luck!

Your photos show limited views but do seem to indicate that you have mild tuberous breasts. In the hands of a qualified plastic surgeon should you wish larger breasts a breast augmentation will improve your appearance. Placement of the implants above the muscle (subglandular) is often the desired position selected by plastic surgeons. Finding the best one will be the most important decision to make.#tuberousbreasts#breastaugmentation#BA

Thank you for your question and for sharing your photo. Based on your
photograph, it appears that your breast are constricted and not allowing
the lower aspect of your breast to fully develop. Breast surgery is an
option to help reshape the breast and release some of the
constrictions. An implant and breast lift may also help reshape the
breasts as well. I would visit with a board certified plastic surgeon
who can discuss the different operative techniques and options with you.

#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!

Correction of tuberous breast would involve release of the constriction tissue internally and addition of volume to support the shape - round versus tuberous - of the breasts.  So, an implant would positively affect the outcome of your surgery.  Good luck.

There are some recent reports of satisfactory correction of tuberous or constricted breast with the use of needle release and lipoinjection of the breast thereby avoiding the use of implants.

Your case is not "mild" (type I), but more involved, and more difficult to predictably achieve a beautiful result.  The deformity appears relatively symmetric (good).  Implants are generally recommended to improve the shape of these breasts, as well as normalize the size to attractive proportion.  Conventional implants (round) should be just fine, my personal preference is gel because of the more natural texture and less rippling, especially since after scar release, the implant will be subdermal in some areas.

Hi there-

While I do think the overall shape of the breasts would be better with an implant, I also believe you could achieve a pleasing improvement in breast shape without one.

This would require nipple/areola reduction techniques and could be done for you by any well-trained and experienced surgeon certified by The American Board of Plastic Surgery.