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.

Thank you for your question and photo. The short answer is yes, the shape can be improved, the nipple/areolar complex size reduced. You are not stuck with "weird boobs". Since your breasts are small, you will not have close cleavage. I also fat graft tuberous breasts, but this option for you is limited. You can always get a small silicone gel implant, 180-240cc ("a sac of fluid" is a saline implant) at the time of the lift or later. See a board certified plastic surgeon for an in person examination to determine your best option. Good luck.