Very small breasts with large areola. Are they tuberous and can I correct with an implant and get a good result? (Photos)

It does appear that you have a mild form of tubular breast deformity. Ideal breasts are comprised of evenly distributed tissue while tuberous breasts are characterized by tissue that is concentrated directly underneath the protruding nipples. Because of this, a common treatment technique involves releasing this constricted breast tissue by making internal radial incisions that allow it to splay out properly. These incisions are done internally so the patient doesn't see anything externally. In most cases the Plastic Surgeon will suggest the placement of an implant, typically in the sub-mammary position to better influence the breast’s shape and to add greater volume. If excess or sagging skin is present, surgeons may recommend performing a breast lift as part of the procedure as well.Patients with severe tuberous breast deformity may undergo tissue expansion, infra-mammary fold lowering and reduction to the large nipple and/or areola before the implant is inserted.It is possible to have a beautiful result following surgery!

Thanks for the question. You are a good candidate for an breast augmentation procedure. As you have enough breast tissue, gel-filled anatomical implants about 250-350cc can be used. Using implants will be the best decision for you. I wish you all the best. 

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.

Based on your photos alone it appears that you have a minimal tubular deformity of your breasts.  Your primary issue is a lack of breast tissue with a small amount of breast herniation into the areola.  A breast augmentation with scoring of your breast tissue (to release the bands that are causing the mild breast tissue herniation) should provide you with a very nice result.  Make certain that you seek a board-certified plastic surgeon to perform the procedure.  Best of luck!

You have a mild form of tuberous breasts. Breast augmentation will solve your problem but with a warning. You will need scoring of the breast tissue under the nipple to allow the areola to flatten out. You will also need vertical scoring of the breast tissue in the lower half of the breast to create a soft rounded lower pole.

You have a mild form of tuberous breasts, which would be corrected very nicely with breast implants.

You have a mild form of tuberous breasts.   Tuberous breasts lack fullness below the nipple.  Breast augmentation can create the fullness you are lacking and provide you with an improved shape and body proportion.  You can view results of breast augmentation  on women with tuberous breasts such as yours by following the link below.

Tuberous (Tubular, Consricted) breasts have some basic characteristics and, yes, you fit into this category. A larger constricted breast takes on the more characteristic appearance of what you'll see in most articles about this breast issue. In my experience, most patients are unhappy with the appearance after breast augmentation if nothing is done other than augmentation. We often describe the resulting shape as 'whipped cream on top of a sundae'. There becomes the appearance of a bulge under your areolae that is separate in shape from the rest of the breast. Using an implant alone often accentuates this appearance. A circum-areola incision (around the areola) is necessary to fix this. I hope this helps. Good luck! Scott Newman, MD FACS

Yes, based on your pictures (without the benefit of direct examination) I think you do have constricted/tuberous breasts. Some of the characteristics of your breasts that make me think so are: short distance from areola to ill-defined to inframammary folds,  “puffy” areola, wide space between the breasts.

Yes, I think you will have a very nice result  with a breast augmentation plus or minus a circumareolar reduction procedure. Correction of tuberous breast does take a bit more work than a straight forward breast augmentation surgery.  If you are bothered by the shape of the breasts, this procedure can help "round out" your breasts and decrease the space between the breasts.  The incision around  the areola  is used to decrease the “puffy” appearance.

You may find the link attached helpful. Best wishes.

What you appear to have is breast tissue herniation into the areolae. Although this is not what most people talk about when they discuss tuberous breast deformity, it is a form of that problem. This is easier to fix than the usual problem and can easily be done with a Breast Augmentation. See a Board Certified Plastic Surgeon with significant experience in correcting many different breast problems.