Can You Correct Tuberous Breast Without Implants? (photo)

I am concerned about cancer. It apparently runs in my dad's side of the family. I like life and I heard a lot of pros and cons stories of women going under the knife. My breasts are really snoopy. I only think they are normal when a room is cold and my nipples and areola shrivel and harden. My left breast has a large hanging areola. Right breast is kind of normal. but also has large hanging areola. Not as much as the left one though... IS THERE ANY way to fix this? Maybe an areola reduction?

Doctor Answers 13

Tuberous Breast Correction

 We can often make an excellent improvement on tuberous breast. Surgical treatment plan often involves combination of implants and steps to release the internal fascia of the breast and to reshape and reduce the areola. Tuberous breasts can be challenging but the results can be exceptional.

Houston Plastic Surgeon
4.5 out of 5 stars 24 reviews

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Tuberous Breast Correction With Areola Reduction

It appears that you have tuberous breasts. A common treatment technique involves releasing constricted breast tissue underneath the protruding nipples to give your breasts a fuller, less "snoopy" shape. No breast implants are needed but you may not be happy with their size after surgery. 

Can you correct tuberous breast without implants? (photo)

Thank you for your question!  Given your photos, it does appear that you have a mild tuberous breast/constricted breast deformity.  The standard procedure would be placement of an implant (or tissue expander, depending on the lower pole of your breast) as well as a circumareolar breast lift.  These modalities would correct the issues with tuberous breast: constricted breast at the inferior pole, via breast prosthetic; scoring of the tissue to release the bands; lowering the inframammary fold; correcting the herniation of breast tissue into the areolae; and decreasing the overall size of the areolae.  These are the hallmarks of tuberous breasts.  You could likely get great results with an implant and possible breast lift.  It is possible to simply perform a breast lift, however, looking at your photos, I do think that either fat grafting or an implant would make a significant difference to your breast shape/appearance and give you a much better result.  

Consult with a plastic surgeon well-versed in breast surgery and discuss your goals and expectations.  S/he will then be able to examine and discuss the various options and assist you in deciding which decision os the right one for you, given your desires.  I would expect a very pleasing result for you!  Hope that this helps!  Best wishes for a wonderful result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 13 reviews

Can I fix Tuberous breasts without implants?

The short answer is yes.  I agree with the other surgeons who have commented on your question.  The best method for addressing your concern is by injected your own fat to widen the breast footprint and lower pole of the breast. In conjunction with an areolar reduction, you would get a very nice result without an implant.  However you must understand that final breast volume would be less than that achievable by using implants.  Good luck with your decision.

Erez Sternberg, MD
Jacksonville Plastic Surgeon
5.0 out of 5 stars 21 reviews

Fat grafting works wonderfully

the latest techniques for correction of small and asymmetric breasts including breast deformity with tuberous issues is to use fat grafting techniques. This technique which is now widely utilized by many surgeons in both the United States and in Europe creates a wider base for the breast and increase his volume in the areas which require correction of this deformity. This is the ideal method for correction without an implant or he can be utilized with an implant in addition.


C. Andrew Salzberg, MD
Westchester Plastic Surgeon
5.0 out of 5 stars 38 reviews

Can Use Fat Grafting for this and Avoid Implants

Your condition can be treated with natural fat transplantation, in one or two sessions.  Your breast footprint (the base) can be widened using fat, and the herniated areola can be addressed with an areolar reduction. 


This is the way that many tubular breasts will likely  be treated in the future.  See an example at the link below.


Best Regards,


Dr Del Vecchio

The Question was: is it possible Without Implants? The Answer is Yes

Your condition can be treated with natural fat transplantation, in one or two sessions.  Your breast footprint (the base) can be widened using fat, and the herniated areola can be addressed with an areolar reduction.  


This is the way that many tubular breasts will likely  be treated in the future.  See an example at the link below.


Bets Regards,


Dr Del Vecchio


Jason Pozner, MD
Boca Raton Plastic Surgeon
4.5 out of 5 stars 29 reviews

Tuberous Breasts?

Thank you for the question and pictures.

Some  improvement in the  condition of your breasts may be achieved through circumareolar reduction surgery;  this procedure will serve to reduce the areola size as well as remove some of the “herniated” breast tissue that leads to the “snoopy"  appearance of the breasts.

However, without the  use of breast implants, it will not be possible to decrease the  distance between the breasts or  “round out” the lower poles  of the breasts.  Improving the cleavage area and rounding out the lower poles of the breasts are often major concerns for patients undergoing surgery for correction of tuberous breasts.

The use of fat injection may become  more common in the future.

I would suggest that you consult with well experienced board-certified plastic surgeons who can demonstrate significant experience helping patients with your breasts type.

Best wishes.

Tuberous breasts

Tuberous breasts often need an implant to expand the lower pole of the breast and the areola needs to be reduced with implosion of the herniated breast tissue.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Correction of tuberous breasts by breast lift alone.

Thank you for your question and the photos.

Yes, a breast lift around the nipple will help a good bit.

For complete correction, the addition of a breast implant would fill out your breast base and give you fuller volume.

See two or more board-certified plastic surgeons if you are seriously considering surgery.

Best of Luck.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 50 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.