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

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.

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation.  Always insist on a board certified plastic surgeon.

A mastopexy can improve the overall appearance of the constricted breast. Even a small breast implant will help in establishing the proper diameter however.

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