I am a 32 yr old female. Never had kids. I HATE how my breasts are shaped. Do I Have Tubular Breast Deformity? (photo)

I am a 32 yr old female. Never had kids. I HATE how my breasts are shaped. I started developing at around age 10 but they stopped growing soon after and seemed to have never finished developing. The areola are puffy/raised and sit on top of very small, conical shaped, droopy breasts. I have been doing research and looking at photos and I believe I have tubular breast deformity. Please tell me if I do. If not, what is wrong with them why they never finished growing? Can taking hormones help?

Doctor Answers 14

Tuberous or Tubular Breasts

Well, yes. Absolutely. Tubular breast augmentation patients are some of the happiest breast augmentation patients in my practice. They go from feeling extremely self-conscious about their breast appearance preoperatively, to feeling absolutely great about their breast appearance post-operatively. Now to get a full, beautiful, natural looking result in a patient who is starting with tubular breasts, it really requires thoughtful pre-operative assessment and planning, careful implant selection, and the utmost attention to detail in the operating room. There are a number of important things that need to be accomplished when transforming a tubular breast into an aesthetically beautiful breast. Number one, all of these patients require lowering of the inframammary folds. In concert with inframammary fold lowering is expansion of the lower pole so that the skin envelope will accommodate the volume of the breast implant in the lower pole. Implant selection is important, and so is radial scoring of the under surface of the breast so that natural breast tissue will expand over the breast implant in a natural way. Lastly, structural fat grafting really helps to provide missing contour in the lower pole, and helps to blend the transition from natural breast tissue to implant contour. A new implant that is available, is the shaped-form stable breast implant, just FDA approved in the last one to two years. These implants have a point of maximal projection that’s lower than a round implant. These will provide a beautiful really natural appearing lower pole in patients who are starting with a tubular breast. 

Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 48 reviews

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Tuberous breast correction

You do have a mild form of tuberous breast deformity judging from your photos. Surgery would probably be the safest and most effective way to correct this. 

Tuberous breast deformity involves a constricting ring that grows around the breast base. This ring stops the horizontal and/or vertical expansion of the breast, leading to constricted appearance with large areolas and irregular nipples. Surgery is necessary to release constricted tissue, and implants may be placed to enhance volume. 

Do I have a tubular breast deformity?

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.

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

Perhaps a mild form of tubular breast deformity


Tubular breast deformity is not an all or non condition.  There can be very mild forms where it essentially does not impact the process of breast augmentation and there can be very severe forms where specific surgical maneuvers are needed to accomplish an aesthetically pleasing breast shape.  You may have a very mild form of tubular breast deformity.  Some breast tissue scoring may be needed during your augmentation but it will not be much.  You may want to consider placement of a silicone implant in the sub-fascial position as opposed to under the muscle.  This can be done via  peri-areolar incision where after the implant is placed the areola size can be adjusted via a purse-string areolaplasty, although this may end up not being needed.

All the best,

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 112 reviews

Tuberous Breasts And The Benelli Mastopexy With Implants

You have the FORM FRUST of tuberous breasts.  This means your tuberous breasts are incomplete for the full blown anomalad, but you have several of the unique characteristics. Your puffy nipples are because your breast tissue has herniated through the weak basement membrane of your nipple areolar complex, and this can be pushed back by reducing the size of the areola.  You can move the nipples up on your breast mound using the Benelli or circumareolar mastopexy, and placement of a subpectoral implant can give you fullness and some lift.  I have done this operation several times specifically for tuberous breasts with minimal scarring and very satisfied patients. 

Now it is time for you to find a Board Certified Plastic Surgeon in your area who has experience with tuberous breasts and the Benelli mastopexy.



Right conclusion, a mild tuberous breast

You are correct, you do have a mild tuberous (not tubular) breast shape with a prominence and puffy apprearance to the nipple and constricted skin envelope. Hormones will not help, and your breast is normal in every other way including breast feeding. Surgery can improve the shape if you are really discouraged.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 33 reviews

Do I Have Tubular Breast Deformity?

Thanks for the question and the photos. It does appear that you have a very mild form of the tubular breast deformity. It is not all imaginable how hormones could help this.

Surgery, however, can. A breast augmentation of modest size and a breast lift should give you a far more normal appearance. 

Find a plastic surgeon for consultation to discuss the options that are available to you.

Best wishes. 

Do I Have Tubular Breast Deformity?

Yes you have a grade I tuberous deformity. Only surgery can improve. I recommend small implants with inferior pole enhanced fat grafts. 

Tuberous breasts

It does appear that you have a slight tuberous deformity. An implant and periareola reductin will help improve the appearance.

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

Tubular Breasts

Thank you for the pictures.  It does appear your have a mild form of tubular breasts with the right breast being a little more obvious due to the pinched appearance of the inframamary fold.  The besy way to change the shape of your breast is to do a breast augmentation with a periareolar mastopexy.  This type of lift will decrease the size and your areolas and give you an excellent results. I hope this helps.

Kindest regards,

Neil J. Zemmel 

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.