Are my Breasts Tubular/hypoplastic?

I know i must have some mild form of it, but are they severe? I don't really care about the size or shape, I basically just want the areola to be smaller. Will an areola reduction fix the problem?

Doctor Answers (14)

Not Tuberous

+1
According to the photo you provided, it doesn't appear that your breast are tuberous. Tubular breasts are classified by several features. These include the breast protruding into the areola, large, possibly deformed nipples and/or areola complex, an abnormally short distance between the areola and the breast fold or misshapen, under developed breasts with a constricted base. A dark ring around the areola may also exist. These traits are not visible on your breasts. 

Your breasts are more affected by ptosis and this may be corrected with a breast lift. If you would prefer to just have the size of your areolae reduced, this can also be performed surgically. Best of luck!


Toronto Plastic Surgeon
5.0 out of 5 stars 57 reviews

Are these Tubular Breasts?

+1

Thank you for your question.  You don't seem to have a true tubular breast deformity. With tubular breasts, the lower pole of the breast (which should be round and symmetric) is narrow, constricted and tight. The breasts are usually smaller and look "cone-like" with very larger protruding areolas.

I would say that you have very natural breasts with volume loss and drooping (also called, ptosis).  If you are unhappy with the look of your breasts and areola, I would suggest performing a short scar breast lift which would lift the breast and reduce the areolar size. This can be done with or without the use of breast implants to increase volume.  The scars would be around the areola and vertical down the lower half of the breasts. In any case, always talk to a board certified plastic surgeon to make the best decision. Good luck.

Erez Sternberg, MD
Jacksonville Plastic Surgeon
5.0 out of 5 stars 17 reviews

Breast lift

+1

Based on your photos you appear to only have sagging breasts, known as breast ptosis.  The appropriate surgical option is a breast lift (mastopexy).  There are a wide variety of techniques.  I would most likely use a short scar circumvertical method.  This would lift the breast and reduce the areola size.  The scars would be around the areola and vertical down the lower half of the breasts.
 

Steven S. Carp, MD
Akron Plastic Surgeon
4.5 out of 5 stars 12 reviews

You might also like...

Tubular breasts

+1

Hello and thank you for the question.

Your photographs do not depict the classic stigmata of tubular breast deformity which includes a breast that is small or hypoplastic (underdeveloped) with a constricted breast base, a high and tight inframammary fold (typically with an associated finding of lower pole skin deficiency), herniation of breast tissue into the areola leading to the classic "puffy areolas".

In your case, the breasts appear ptotic or saggy with large areola. This can be addressed with a mastopexy or breast lift. However, if your only concern are the areola, an areolar reduction procedure may be performed to reduce the size of the areola and create better symmetry.

Best,

Glenn Vallecillos, M.D., F.A.C.S. 

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 20 reviews

Areola reduction

+1

Your areolas can be reduced with circumferential incisions and repair to give you the size areolas you want.  Neither breast is tubular/hypoplastic.

Joseph N. Togba, MD
Oakland Plastic Surgeon
4.5 out of 5 stars 11 reviews

Vertical breast lift

+1

I agree with my colleagues in that you don't exhibit the classic signs of a tubular breasts. You do have a high inframmary fold with nipple-areolar ptosis. While a periareolar (donut, Benelli) mastopexy will allow you to reduce the diameter of your areolas, don't anticipate much of a lift, but you can see a flattening of the breasts. A better approach is a vertical mastopexy, that would allow you to achieve better projection and with minimal scarring. 

Jeffrey D. Hoefflin, MD
Los Angeles Plastic Surgeon
4.5 out of 5 stars 9 reviews

Tubular?

+1

Based on what can be seen in this one photo, your breast do not look 'tubular' or 'tuberous'.  If you desire areola reduction, this can certainly be done although, to me, your areolae do not look very large compared to the base of your breasts.
 

Scott E. Newman, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 25 reviews

Treatment of enlarged areola and tubular breasts

+1
After examining your photos, I would agree with the others that you do not have tubular breasts. They appear to be ptotic (droopy) with a high crease. An areolar reduction would correct only the diameter of the areola but not give much of a lift. I feel a vertical lift would correct both problems with minimal scarring.

Robert M. Jensen, MD
Medford Plastic Surgeon
4.5 out of 5 stars 20 reviews

You have large areolas without tubular breasts.

+1

Hi.

This is a very straight forward problem.  A minimal scar (circle around the nipples) breast lift will make your areolas the right size and make your breasts look better.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Are My Breasts Tubular?

+1

You do not appear to have true 'tubular breasts,' however, your breasts have a more tubular than rounded shape.  To clarify this, 'tubular breasts' are breasts that are elongated with a very short distance from the breast fold to the edge of t the lower areola and a tight breast fold.  The breast tissue is also 'herniated' (imagine that it is squeezed towards the areola like toothpaste is squeezed from a tube) causing your areola to become very large.  In your case, your breast has a slightly elongated shape with ptosis (sag) and large areolae but not the other features of a true 'tubular breast' as described above.  The benefits of an areolar reduction in your case is the decreased areolar size and a slight lift associated with the procedure.  Your best option is to pursue a vertical lift ('lollipop lift') with or without an implant.  Best of luck!

Louis DeLuca, MD
Palm Beach Plastic Surgeon
5.0 out of 5 stars 32 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.