Are my Breasts Considered "Tuberous"?

Question

Are my breasts are considered "tuberous breasts"? This how my breasts developed as a teen. I'm now 20 years old and my breasts never been super perky. I'm a virgin and I never had children or lost any dramatic amount of weight. My areloas and nipples always been big, but my breasts remain small. I never had any upper fullness and the bottom of my breasts never filled out. Most of my teens, my breasts has been a crooked like v-shape. So are my breasts are tuberous?

Otto Joseph Placik, MD · Answer

I would not call them tuberous due to the relatively normal shape of the areolae but I would call them constricted, left more than right.

Gregory A. Buford, MD, FACS · Answer

I agree with the previous experts in that your breasts are probably not tuberous (by definition) but are definitely droopy. As such, I would recommend the following:

	
		submuscular augmentation (to increase your overall breast volume and enhance upper pole fullness)
	
		breast lift (to reduce areaolar diameter, lift position of the nipple, and create a more optimal shape)


	These two procedures would provide the best chance for a more optimal breast appearance.

	I hope that helps.

Andrew P. Trussler, MD · Answer

Congenital breast abnormalities come in varying forms and it appears that you do not have a "classic" tuberous breast which would involve lower breast internal bands and herniated or "puffy" nipples. You probably have some lower breast bands that actually can cause the breast to "droop" over time as it develops. To corect your problem a breast lift or mastopexy would reposition your nipple and reshape your breasts, and if you want a fuller look an implant could be added.
I hope this helps and good luck> Dr. Trussler

Dean Fardo, MD · Answer

Your pictures suggest breast ptosis instead of a tuberous breast. Regardless, I think that a mastopexy (breast lift) would be you best option. Good luck!

Kevin Brenner, MD, FACS · Answer

Tuberous Breast Deformity, also known as Constricted Breast Deformity, occurs when the lower pole of a breast does not fully develop. There is great variablity in how it presents, but in general the lower pole of the breast is short and underdeveloped with a lower breast fold that is higher than normal. As a result, as the breast develops it herniates through a fibrous band internally which leads to a small, sometimes pendulous breast with an abnormally large areola. From what you describe, you may very well have some form of this deformity.

Jourdan Gottlieb, MD · Answer

There are a number of features that define a tubular 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

	Based upon the photos, you certainly have some of these findings, and the approach to surgical correction will take those into consideration.

	Thanks for your question and best wishes.

Tom J. Pousti, MD · Answer

From the photos, it looks like you have significant ptosis that would involve a breast lift as well as breast implants.  Tuberous breasts have 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).  It may be a good idea to see a board certified plastic surgeon and have an in-person examination to determine exactly what procedure will give you the best result.

	Good Luck

Daniel P. Markmann, MD · Answer

Hi AnonymousGirl
You do not appear to have a Tuberous (Constricted) Breast deformity. You do have what we call ptosis or drooping. This is a normal way that many women's breasts develop. It is easily corrected with a breast lift. This will provide for you a beautiful shape without any change in your breast size. (You can however make them larger or smaller at the same time if you wish.)

Peter A. Aldea, MD · Answer

No. Your breasts do not appear to be tuberous or constricted breasts. They demonstrate significant droopiness/ptosis with asymmetry.
You would have an amazing transformation with a breast lift (Mastopexy). Please, read up on the topic, especially breast lifts which shape the breast tissue itself instead of the skin around it. Look into having a Hall-Findlay Mastopexy. You will be VERY glad you did.
Good Luck.

C. Bob Basu, MD, MPH, FACS · Answer

I concur with my colleague that you do not have a classic tuberous breast deformity. The primary issue is the ptosis (or sagging). A breast lift would significantly improve the appearance and shape of your breasts.

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