Tuberous Breasts/Constricted Breasts/Breast Implants/Breast Augmentation/Breast Lift
From your photos, you appear to have characteristics of tuberous breasts.
or tubular breasts tend to be too narrow with a breast crease that is too high.
Tight ring-like bands of tissue around the areolae and nipples may create the
appearance of protruding or puffy areolae. A higher than normal breast crease
may make your nipples appear to be too low or down pointing. Constricted breast
features can be very mild or severe. In fact, mild variations are relatively
common. To summarize, the features can include:
- Inframammary fold (breast crease) too
- Inframammary fold misshapen
- Breasts too narrow (disproportionately
narrow base width)
- Insufficient breast skin
- Constricted or tubular shape, resulting
from tight bands of tissue within breasts
- Protruding or bulging appearance of
areolae (pigmented area around nipples)
is possible and generally includes a breast augmentation, sometimes combined
with a lift (mastopexy). The lift is usually limited to an incision around the
areolae. During the procedure, I release the tight, constricting bands from the
inside, allowing the skin to expand properly. I also lower the inframammary
fold to a more ideal position and improve its shape. Breast implants help
create the right amount of volume and improve breast contours, resulting in a
more rounded or tear drop shape.
The best way
to assess and give true advice would be an in-person exam.
Please see a
board-certified plastic surgeon that specializes in aesthetic and restorative
Best of luck!
Certified Plastic Surgeon
Hills Breast and Body Institute
Degrees of Tuberous Breasts
Tuberous breasts (a.k.a. tubular breasts, constricted breasts) can be classified in three grades, based on the location of constriction. Grade 1 is a breast that is constricted in the inferomedial quadrant. This makes the inside half of the breast fold look flattened. Grade 2 is a breast that is constricted in the lower half. This makes the breast look flat across the bottom and the breast can look like it is sitting on an invisible shelf. Grade 3 is when the whole breast is constricted, giving it a cone shape like the breast is being strangled and the tissues are bulging out the areola. Grade 3 is what many of my colleagues have described.
While more photos at different angles and at profile would be helpful, it appears that you have a mild grade 1, at least on the left breast. To round out the bottom half of your breasts and obtain the more fuller base you desire, your best option is to have breast implants placed. It is much more reliable than transferring fat to achieve the breast shape you describe.
Definitely see a qualified plastic surgeon who is experienced in both options to help you further. Best of luck!
While I don't think you have tuberous breasts per se, you do have some constriction of the central or medial aspects of your breasts. I can understand your feelings, though what you have is a common and normal finding. A breast augmentation, done with the intention of rounding out the lower portion of your breast, can create a smoother, more symmetric shape if that is what you would like. Your nipples are also a normal finding, but nipples can be made smaller in surgery if that is your preference. As far as your asymmetry, this is also common and can be improved.
In short, you are no different than many other women who seek breast enhancement- look for similar patients on my or other Board Certified plastic surgeon's websites, and find someone that you are comfortable talking to about this.
Fat versus implant for breast deformities
The definition of a tuberous breast has three components: a constricted lower pole with a higher than normal inferior fold, a widened areola with a fibrous ring around it, and breast tissue herniating through that ring. You do not appear to have a frankly tuberous breast, but you do appear to have a mild deformity and some asymmetry: the inferior part of your breast appears a little underdeveloped, and the areola appear mildly puffy. Correcting this with fat alone would be difficult if not impossible. Fat is good for simply replenishing lost volume. The "envelope" of your breasts - is too small. Fat doesn't do well in tight spaces. As well, the boundaries of your breast need to be re-established and possibly the areolae reduced with a periareolar mastopexy. The best way to do this is with a trans-areolar breast augmentation with possible glandular scoring. If there are any fibrous structures that are constricting your breast, they can be released and the fullness of the lower pole enhanced. My best advice is that you be fully examined by a board certified plastic surgeon. She or he should listen carefully to your expectations and counsel you as to the risks and benefits of their proposed plan. Best of luck for a fabulous result!
In my opinion, you do not have tuberous breasts, but as you say, they are asymmetric. Fat grafts can augment the size of the breasts, but fat injections are not always predictable, and it takes multiple fat harvestings and then injections over a period of months.
Breast Augmentation Options
Thank you for your question and photos. You appear to have just some mild constriction. In order to release this and round out the lower breast poles, typically some surgical release of constriction could be done through an incision around the areola which could also be used to correct the puffy nipples. I recommend that you meet with a board certified Plastic Surgeon in person to discuss your concerns. They will examine you and present options which address your goals.
All the best
I do not believe you have tuberous breasts and will have a very nice result from a breast augmentation. Be sure to get multiple consults from board certified plastic surgeons and good luck!!
You will enjoy the results!
Do I have tuberous breasts? Would a fat graft provide optimal results?
Fortunately you do not have tuberous breasts. You should be able to achieve a very nice result with breast augmentation.
Please be aware that you do have an asymmetry. A lift of the right breast and bilateral implants may be her best option to achieve symmetry. For more on breast asymmetry please read below:
There are different degrees of tubular breast and without a profile view, it is hard to tell for sure. But the bottom of the breast on your left side seems straight, rather than curved... which is seen in mild tubular breast. I would go with an implant and not fat grafting. The implant will help shape the bottom of your breast into a more rounded appearance.