Are my breasts tuberous or just saggy and asymmetrical? (photo)

I have always disliked my breasts but recently I lost about 15 pounds (which is a lot for someone who is only 5 feet tall) and now they are not only more saggy but smaller as well. I want perky full breats!! I would love any suggestions of how you would go about correcting whatever it is that's wrong with them. Also, I am almost 21 101 lbs and a 32C (I used to be a 32 D) I'm pretty sure my right is at least a cup size smaller than my left. Thank you!'

Doctor Answers 11

Sagging and Asymmetry can Be Assisted by a Lift with Implants

Candidates for Breast Lift with implants (#Mastopexy) surgery are women who have #saggingbreasts due to past pregnancies, genetics, or aging. Often times the sagging is too great to be treated by implants alone. In addition, adding an implant gives both volume and shape to the newly lifted breast.

 Women with asymmetric or enlarged nipples or areolae (pigmented areas around nipples) also may be candidates for a breast lift or a modification of a lift. #Asymmetric breast can be adjusted by adding or removing volume.  One side can be tightened more or less than another.

Different size implants may be used for the two breasts. Different profiles of implants can be used depending upon the shape of the breasts, the type of lift and what the women wants to achieve.

 The women that are candidates for #breastlift– include:

 A woman who’s had a pregnancy; her breasts have either just deflated, or the skin has been stretched from pregnancy, and or breastfeeding. They may be in a lower position than she would like. By doing the breast lift, we can tighten the breast, tighten the breast skin, and put it into a more youthful position.

The other category includes patients who have had weight loss through either diet or surgical procedure. Many women will have breast deflation with #weightloss leading to #drooping or #ptosis.

The third category include #DevelopmentalBreastProblems.  I see young women that come to the office, and the two breasts are very asymmetric. One breast is lower than the other. There may be differences in size. Or there are certain conditions such as #tuberous breast deformity, where the breast has a more unusual shape. It may be very narrow at the base on the chest. The whole breast can be very narrow. There are different variations but basically, this is a growth and development problem that creates a great deal of angst for a young woman.

I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring.

Implants and No Lift: This is usually a mistake. Most breasts will look larger and droopier.  They will sag more and sooner because of the excess weight.  The shape will usually not be satisfactory. There will sometimes be a “Snoopy” breast or double bubble.


Orange County Plastic Surgeon
5.0 out of 5 stars 106 reviews

Breast augmentation and lift candidate, some advices:

Thank you very much for enquire.
After having analyzed all the information and photos provided to us, I realize that you have very sagging and small breasts. In this regard, you need volume (implants) and projection (the lift): Breast Augmentation w/Breast Lift.
I recommend you to use microtexturized highly cohesive silicon implant ("gummy bear" implants), with high projection, and 550ml will be excelent on you, to fill the breasts properly.
Finally, to perform the breast lift I recommend a Periareolar Round Block Breast Lift ("Benelli mastopexy"), which has an unnoticed scar around the areola, and if we see (in the surgery) that we can't obtain adecuate projection just with the Benelli Lift, we have to perform a "Lollipop breast lift".
Respectfully,
Dr. Emmanuel Mallol Cotes.-

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 229 reviews

Breast ptosis and asymmetry

Thank you for your question and for providing photos. You are correct about the asymmetry and the ptosis that was exasperated by the weight loss. The best course of action, based on your photos, would be a breast lift with implants. This procedure allows for correction of the ptosis, and also allows the surgeon to improve the symmetry of your breasts. I encourage you to find a board-certified plastic surgeon who can go over your options in more detail after examining you in person. Good luck!

Ashley Gordon, MD
Austin Plastic Surgeon
4.9 out of 5 stars 34 reviews

Breast ptosis, not tubular

Based on the photographs submitted, the left breast is larger than the right, there is 3rd degree ptosis for both breasts and there is fairly good volume in both breasts.  You do not have tubular breasts.

I would recommend an asymmetric breast lift with a lollipop incision or a breast lift with small implants.  This should correct the size and shape discrepancy.

Good Luck!

David Finkle, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 74 reviews

Breast lift with implant

Hello and thank you for your question.  The best advice you can receive is from an in-person consultation.  With that being said, based on your photographs, the best shape and contour could be achieved with an implant and a breast lift. Your nipple sits below the inframammary fold and without a lift in addition to the implant, this will not have a natural shape.  A breast lift with an implant can result in a very nice shape if good technique is used.  The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 112 reviews

Breast lift

Your pictures show breast sagging and breast lift with implant or fat grafting will help the shape and size. 

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.7 out of 5 stars 119 reviews

Are my breasts tuberous or just saggy and asymmetrical?

Great question, form your pics it appears you may have some component of tuberous breasts with ptosis, you have had some volume loss with your weight loss so per pictures you would probably need a lift with a implant,good luck in your  journey and would love to see you in consultation! 

Jonathan Weiler, MD
Baton Rouge Plastic Surgeon
4.9 out of 5 stars 81 reviews

Saggting breasts after weight loss

From your photos i would recommend a breast lift and to add volume I would recommend a silicone implant or also maybe using some of your own fat as well.

Robert Brueck, MD
Fort Myers Plastic Surgeon
4.9 out of 5 stars 61 reviews

Breast augmentation with lift

Hello and thank you for your question. As you have identified you have a pre-existing asymmetry and breast ptosis (saggy breasts). Your best option would be a combination of an implant with a breast lift. The lift would be helpful to restore the position of your nipples. 

Best wishes 

Theodore Nyame, MD
Charlotte Physician
4.9 out of 5 stars 38 reviews

Tuberous Breasts

Thanks for your question.

You have an element of tuberous breasts and more so sagging (ptosis).  The best option for you will be to lift the breasts to reposition the breast and nipple in higher position on the chest to give you better shape, symmetry and fullness.  Volume may need to be added to the right breast and volume may need to be removed from the left breast or a combination of the two maybe helpful in your case.

Good luck. Hope this information is useful.

Ali Sadeghi MD FACS

Ali Sadeghi, MD, FACS
New Orleans Plastic Surgeon
4.8 out of 5 stars 22 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.