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Do I need (tuberous) breast surgery or just a nipple reduction? (photos)

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i've been very insecure about my breasts for a few years. not really because of their size but more to do with their shape. i've been reading a lot about tuberous breasts and i have a strong feeling that i have them (widely spaced breasts, not much tissue, "tube" shaped when my nipples are puffy) but when my nipples are erect, they look fine so i wondered if i'd need actual tuberous breast surgery or if i could just get a nipple reduction and be fine. thanks

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