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Do I Have Tuberous Breasts, and is There Any Way to Avoid Mastopexy? (photo)

I'm quite confused about this issue. I don't know whether I have tuberous breasts - I suspect I do. If so, how difficult would it be to correct this? I would prefer to avoid mastopexy if possible, as I have not yet had children. My pictures aren't the clearest (the camera on my computer isn't great), but any information would be appreciated. Thank you.

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17 Doctor Answers | Asked by rosielee

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Tuberous breasts

There are a number of features that define a tuberous breast: •Wide and puffy areolae •widely spaced breasts •high breast fold •constricted lower pole (deficient tissue in lower half of the breast •minimal breast tissue •high breast fold •narrow base of the breast Many of these findings are present, albeit in a mild form, on the photos you have posted. Mastopexy is at the heart of any correction. Implants without a lift can exaggerate some of the... more

Tuberous Breasts?

You do not have a true tuberous breast deformity, but you do have breast asymmetry as all women do. Breast augmentation could be pursued if inclined. Discuss what you would like performed with your board certified plastic surgeon.

You will first want to decide what you want your breasts to look like

Hello, Thank you for the question and photos. Consricted breast deformity is an overtly elevated breast fold, a narrow breast diameter, and herniated breast tissue at the areola with a large puffy areola. The definition of constricted breast deformity is important because when severe it outlines what needs to be done surgically to correct it. When the deformity is very mild the definition is not that critical to identify. In your case, a breast augmentation will... more

Tuberous breasts?

Thanks for your question. I do not think you have tuberous breasts though the base of your breasts are a little constricted (tight/narrow). Your areolas are a little large and nipples low for the general shape so I would recommend a lift with or without and implant. Good luck.

Correction of Tuberous Breasts Without a Mastopexy

Good Morning Rosaleen and thank you for your question and accompanying photos (always helpful!). You appear to have elongated breasts (rather than round), but not necessarily tubular. Depending on your specific aesthetic goals, you have many options. A breast augmentation alone through a small incision will give you more fullness, raise the breast a bit and allow you to avoid any additional scars associated with a lift. If you want to reduce the size of your areolae... more

Correcting tuberous breast with a periareolar mastopexy + dual plane augmentation

Thanks for the question Rosaleen. Based on your photos, you do show some of the characteristic signs of mild tuberous breast deformity. Your breasts themselves are slightly narrow and the nipple/areola a bit large. The infra-mammary crease sits somewhat higher and would need to be released and lowered to give more lower pole exposure. I do not feel that you would be completely satisfied with an augmentation alone and would therefore recommend a dual plane augmentation... more

Breast implants and tuberous breasts

Dear Rosaleen, from the photograph I would agree that you have a mild degree of tuberous breasts. The surgical solution would depend on what you would like to change, what you consider a good attractive breast and to which extent you are prepared to go. In order to correct the constricted lower pole and the lack of fullness I would suggest an anatomical implant with a muscle split technique (which would also give you the optical effect of an uplift). This would however not correct the... more

Solutions for Rosaleen's narrow, asymmetric breasts

Hi Rosaleen, Your confusion is well deserved- but I have some suggestions that will lead you to better clarity on treatment options, because there is almost always more than one. Make it your priority to define what your goal is and then plan to educate yourself enough so that you can make an informed decision about your choice. As a woman, I can give you some tips: 1. what do you want your breasts to look like?? Example: more volume? seated higher... more

Surgery for Mild Tuberous Breast Condition

Your photographs are difficult to judge but it does appear that you have a mild form of tuberous breasts. Your shape is not that unusual and is a congenital variant. It does appear that you have some mild breast sagging that can be corrected with a breast augmentation. You may expect that your areola will get a little wider with a breast augmentation an examination would be required to tell you if this would happen.

Tuberous breasts?

I do not think that you have a tuberous breast deformity. If you want larger breasts, implants should do the trick.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Correction of mild tuberous/constricted breasts

You have a mild form of tuberous breast, also called constricted breast (yes the term is synonymous), characterized by wide cleavage, large areolae, and a short distance from the inferior mammary crease to the bottom of the nipple. No one will guarantee breast feeding after any procedure - indeed, 1/3 of all woman can't breast feed at all who have not had any surgery. However, if you had an intra-areolar lift (this just reduces the areolae size and the scar is in the areolar pigment), and a... more

Lisa B. Cassileth, MD

3 reviews

Beverly Hills Plastic Surgeon

Do I Have Tuberous Breasts, and is There Any Way to Avoid Mastopexy?

You do not appear to have tuberous breasts, but a mild variant of the constricted breast deformity...your breast width is somewhat narrow with a wider distance between your breasts and the areola is large and low on the breast. You could proceed with breast augmentation alone and, particularly if a "dual plane" subpectoral procedure is performed the implant may fill out the lower pole enough to give you an acceptable result without a mastopexy. However, if you would like your... more

Agmentation without the breast lift

There is no reason you cannot have a conservative augmentation without a mastopexy and breast scar. Your breast is not tuberous. If you will have children in the future give up on the lift idea for now.

Do I Have Tuberous Breasts, and is There Any Way to Avoid Mastopexy? (photo)

You have tuberous breasts with large areolae Both could be corrected with a sub-areolar lift The scar is around the areolar only and usually heals very well often being hardly noticeable

Constricted breast anatomy can be improved with conservative augmentation

I don't think you have a tuberous breast anatomy - I would describe your breasts as 'constricted' - the breast footprint is narrow relative to the width of your chest and the fold beneath the breast is relatively high. I think an areolar reduction would improve your aesthetic result - but if you wanted to avoid this, I would offer augmentation using a implant with a base width diameter that is narrower than the width of your breast. You could start with this basic cosmetic... more

You don't have tuberous breasts

You don't have tuberous breasts from what I can see in your photos. I am not sure what your issue is. You would only do surgery if you wanted larger breasts.

Tuberous Breasts?

Thank you for your question and photos. Unfortunately, on my computer your photos are quite small making it difficult to ascertain whether you have tuberous breasts. Some of the characteristics seen with tuberous breasts include a very narrow base, short distance from areola to inframammary fold, tight (constricted) lower pole of the breasts, relatively wide space between the breasts, "puffy" and areola and some degree of ptosis (drooping). What I can see on your photos... more