I have tuberous breasts, can I fix without implants? (photos)

This would depend upon the type of breast lift performed and the areas into which fat is injected.  
The areolae can definitely be reduced with periareolar scars.  This gives a little bit of lift as well.  Fat grafting to the breast is an implant-free procedure that is less invasive and offers more natural results than traditional breast implants, and with less downtime required. Areolar reduction and fat grafting can be performed at the same time. Staging is probably more reasonable.  Fat graft take should always be optimized with the best blood supply available.

I recommend a lift.  You can 'get away with' not needing implants.  The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for breast lift  with implant with  small implant t, in your case its recommended get a consultation in personal with a plastic surgeon to determinate how many cc do you need to get a very well result.

You do not need implants but do need a lift.  The 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 and the ability to breast feed are maintained.  Best Wishes,Gary Horndeski, M.D.

Hello and Great Question. I appreciate the time you are spending researching this procedure. My name is Dr. Matthew J. Nykiel. I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Cosmetic Breast Augmentation Specialist.
Based from your photos, you would be a good candidate for a breast lift with possible implant.  I would suggest you see a board certified plastic surgeon that specializes in this procedure to discuss your surgical options.I hope that helps! Best of Luck!
Matthew J. Nykiel, MD #CoreAesthetic Breast Augmentation Specialist Board Certified Plastic Surgeon

Thank you for your photos and your excellent question!  The simple answer is yes, you will be able to achieve an improvement to your breasts without implants.  You have many different options including a lift, reduction, even a fat transfer!  I recommend that you consult with board certified plastic surgeons to discuss your options.  Best of luck to you!

Hello,You don’t need any implants. Regardless of the label, your breasts are asymmetric and have suboptimal nipple position, both of which can ONLY be corrected with a lift and asymmetric reduction. Go visit a few ASAP certified/ASAPS member surgeons who specialize in breast surgery. 

As there is a wide spectrum of tuberous breast deformity, some can be addressed with implants only, some will need implants and a lift and other can be addressed successfully with a lift only.Judging by your photos, you can certainly have an improvement with a breast lift only.  It really comes down to your expectations and what you would like to achieve.I would recommend you see a board certified plastic surgeon to discuss your surgical options.Hope that helps.

Based on your photos- your issue is not volume- but shape and position. You have plenty of volume- therefore- to improve the appearance of your breast you will need a breast lift/ mastopexy. In the right hands - you should get a really good result- provided there are no complications post-op. I suggest that you seek an experienced Board Certified PS.

Hello! Thank you for your question!  Your photos are helpful and while I would not say that you have a true tuberous breast deformity, you certainly  have some details that suggest mild findings including a constricted base, areolar herniation, and a conically-shaped breast with enlarged areola. This is typically corrected by a periareolar breast lift, and consideration for an implant or even tissue expander in severe cases. Since your constriction is not very significant, a breast lift to reshape the breasts and correct the breast herniation, make the areolae smaller, and score the constriction bands at the base of the breasts may be all that you need. I would discuss the options and obtain an examination with a board-certified plastic surgeon. Hope that this helps. Best wishes!