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.