Do I have tuberous breasts? If so, can I correct them with fat transfer? (photos)

Question

Do I have tuberous breasts and if so would a tuberous breasts correction surgery wiyh fat transfer work for me? Also if I get an areola reduction would there be permanent darker rings around them frim scars? Thank you!

Gary M. Horndeski, MD · Answer

Your breasts are tuberous.  Adding fat will only add volume.  You will need repositioning and the technique I recommend is a mini lift.  Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.  At the same time, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Justin K. Williams, MD · Answer

No, fat grafting is not likely to treat tuberous breast deformity alone. I do believe that you have some element of tuberous breast deformity, which involves a constricted lower portion of the breast, and inframammary fold that rides high on the chest, and herniation of the breast gland into the areola. This is typically treated with an incision around the areola, release of the constricted tissue at the lower portion of the breast which allows for placement of an implant, and excision of a small amount of excess areola. Closure of the incision allows for repair of the herniation of gland tissue into the areola.
Fat grafting is possible to do it in conjunction with this if necessary but is not a requirement.

Ronald J. Edelson, MD · Answer

I tell many women that fat transfer to the breasts really doesn't work as well as you think. Look at before and afters online. The results I have seen are quite poor. And those are surgeons best cases which is why they end up online. You need a lift and small implant

Daniel Barrett, MD · Answer

Dear cakes83,
tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

No, your breasts are not tuberous, but do sag. Sagging is not corrected with a fat transfer, but rather a lift.

Do I have tuberous breasts? If so, can I correct them with fat transfer? (photos)

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Answer: Tuberous breasts

Answer: Tuberous breasts

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Answer: Breasts

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Everything you need to know about Breast Fat Transfer

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Do I have tuberous breasts? If so, can I correct them with fat transfer? (photos)

Answers (6)

Answer: Tuberous breasts

Answer: Tuberous breasts

Answer: Breasts

Answer: Breasts

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Recommended reading

Everything you need to know about Breast Fat Transfer

Our mission is to create a world where every investment in modern beauty is Worth It.