But you do have some asymmetry with respect to the size of the breasts which may or may not require a volume difference in the implants. It is better to determine this with an examination in person.
The examination will also determine how tight your lower pole skin is and wether a lift is necessary or not. But juding from the photos you should be able to obtain a nice result without a lift. (John Michael Thomassen, MD, Fort Lauderdale Plastic Surgeon)
Are my breasts tuberous?
As viewed in your excellent posted photos you have NON tuberous breasts. They are anatomically wide set on your chest.
Yes there is mild ptosis. So implants in the 400 to 500 cc range moderate profile plus with possible donut lift is what I might recommend. But ONLY IN PERSON opinions are valid. There are over 80 boarded PSs in South Florida see a few of us. (Darryl J. Blinski, MD, Miami Plastic Surgeon)
Fortunately you do not have tuberous breasts. Your breasts are however widespread with a large distance between. You should be a candidate for a bilateral breast augmentation without the need for a lift. Please choose your plastic surgeon carefully and be sure to discuss the wide separation of your breasts.
A dual plane breast augmentation would allow placement of the implant beneath the chest muscle which is optimal. Discuss and avoid attempting to place implants too far medially towards the center of your chest which could force the nipple to project outward. (Brooke R. Seckel, MD, FACS, Boston Plastic Surgeon)
Judging from submitted photos, your breasts don’t appear tuberous, but they’re low on your chest, wider than they are tall, have a high surface to volume ratio, and are separated in the mid-line by more than the usual distance. All of this means YES, you should have a great result from augmentation alone, provided the proper implants are chosen and well placed by an appropriately trained and experienced professional. Of course, implant choice depends in large measure upon what you want to achieve, but the “tear drop and natural” look you prefer suggests to me you want larger and lifted breasts that go with your body, and do not look like implants.
My inclination is to suggest shaped (anatomic) implants by Sientra or Allergan (410 highly cohesive) that are wider than they are tall (width exceeds height), either moderate or high profile, with a base width that will diminish the distance between your breasts.
They are soft, will match your shape nicely, keep your breasts as high as possible on the chest (round implants will lower your infra-mammary crease if properly sized and placed) and avoid formal breast lift because the most forward projecting point is stable, and low on the implant, just like your breasts.I’ve given up predicting what will happen to breasts after pregnancy and nursing, and have seen a variety of outcomes. This partly depends on skin elasticity, cannot be well evaluated from photograph. (Steve Laverson, MD, San Diego Plastic Surgeon)
Tuberous Breasts?
I do not think you have tuberous breasts. It is possible that augmentation alone without a lift will give you a good result. It all depends on the implant size you pick. It is best to examine in person and your plastic surgeon can then give more details about the surgery. (Mark Deutsch, MD, Atlanta Plastic Surgeon)
Deflated Breast Augmentation or Ptotic Breast Augmentation
Your breasts have a high medial inframammary crease with mild glandular ptosis however they do not appear tuberous. The upper pole also is deflated which can occur after breast feeding or following weight loss. When the breast is deflated and not heavy or dense, an implant alone will achieve some degree of breast lift often making a lift unnecessary. I prefer a sub-pectoral implant position and sometimes I will slightly release the lateral boarder of the pectorals muscle from its attachments to the overlying breast tissue. This creates a “dual plane” allowing the lower portion of the breast to further expand over the underlying implant.
Additionally, your nipple is forward pointing and is above your inframammary crease. These features are favorable for a natural post operative outcome after breast augmentation alone. (Geoffrey E. Leber, MD, Paradise Valley Plastic Surgeon)
You have normally developed breasts, not tuberous. Seek out a local board certified plastic surgeon. I am certified to offer Shaped or Anatomic breast implants for a natural look. You should be able to achieve a very nice result. (Sean A. Simon, MD, Miami Plastic Surgeon)
Your breasts are not tuberous and are normal. A breast augmentation with implants or fat transfer will give more fullness. See case 7 and 39 in the link below for real results of breasts similar to yours. (Karol A. Gutowski, MD, FACS, Chicago Plastic Surgeon)
Tuberous vs. ptotis breasts
It does not appear from your pictures that you have a tuberous breast deformity, which is a congenital deformity rather then a change associated with weight fluctuation, aging, or childbirth. It does appear that you have mild breast ptosis.
A thorough consultation and examination is necessary to determine the best surgical plan for you. This will be dependent on your goals for overall size and appearance of your breasts. (Erik Miles, MD, FACS, Charlotte Plastic Surgeon)
You don not have tuberous breasts but whether you would benefit from a lift or not would require an examination (Frederic H. Corbin, MD, Brea Plastic Surgeon)