This young woman has a classic tuberous breast deformity, where there is very little breast tissue present but all of it is centered right underneath her nipple. To correct this, I used silicone cohesive gel implants to augment the breasts and then reshaped her existing breast tissue with an incision just around the areola. This resulted in a better overall appearance to her breasts that are more in balance with her body frame.
Before:
After: