Can Tuberous Breasts Be Fixed with Mastopexy Alone (Without Augmentation)? (photo)

Your posted photo shows tuberous breasts but the left breast is almost half the size of the right. Therefore even if you lower the folds and redistribute the breast tissue on each side the left will still be smaller. Given your height and weight it is unclear that you could make up the difference with fat grafts. If you want a symmetric result you will probably have to get breast implants.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.

You have typical tuberous (constricted) breasts with a narrow base and wide areolas.  The goal for surgery should be a wide based breast which extends across your chest as well as smaller areolas which lie flush with the surrounding breast skin.

It is one of the more difficult breast operations for plastic surgeons.  The usual techniques of radial scoring of the breast undersurface can help -- but the problem can recur unless an implant (it can be a small one) is placed to prevent recurrence of the original problem.

A new technique of fat injection in the surrounding breast has been introduced in recent years.  In essence, it seeks to camouflage the problem by adding tissue around the nipples.  This technique has not yet been adopted by the general plastic surgical community and you will have to research carefully to find surgeons who are comfortable with this new technique.

 

Good luck!

 

Elliot Jacobs, MD, FACS

New York City