Are My Breasts Tubular? Do I Need Breast Augmentation? (photo)

Are my Breasts Tubular? Hello, I'm an 28 year old female and ever since I had children and breast fed I've been concerned that my breasts are tubular. However, when my nipples are erect (as pictured) they look perfectly fine in my opinion. It's almost as if the tissue gets pinched back and creates a rounder shape. But I don't have naturally erect nipples, they're quite puffy. In your professional opinion, are they tuberous?

Doctor Answers 9

Tuberous Breasts

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According to the photo you provided, it doesn't appear that your breast are tuberous. Tubular breasts are classified by the breast being constricted by the areola, large nipples and/or areola, an abnormally short distance between the areola and inframammary fold. These traits are not visible on your breasts.

Your breasts are more affected by ptosis and this may be corrected with a breast lift. If you would prefer to just have the size of your areolae reduced, this can also be performed surgically. Best of luck!

No, your breasts are not tubular.

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No, your breasts are not tubular, and no, you do not need a breast augmentation.  The question is do you want a breast augmentation?  If so, see two or more board certified plastic surgeons in consultation.

Good luck.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 221 reviews

Tuberous breasts

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From the photos you sent, your breasts do not appear to be tuberous.  You have some flattening in the upper poles of the breasts that could be corrected with augmentation.

Michael Leff, MD (retired)
Bellevue Plastic Surgeon

Tuberous breasts

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Tuberous breasts typically involve a reduced breast base diameter, high and constricted inframammary fold, and herniation of breast tissue through the area of the areola. It does not appear that you have tuberous breasts.

David Bray, Jr, MD
Los Angeles Plastic Surgeon

Tuberous breasts

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I do not think you have tuberous breasts and no one needs to have a breast augmentation.  If you are interested in an augmentation make sure you visit with a board certified plastic surgeon.

Tuberous breasts?

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No you do not have tuberous breasts and if you want implants, they can give you more fullness.  If you want a tummy tuck as well, they both can be done through the tummy tuck incision.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Tuberous breasts

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No you do not have tuberous breasts. They are very natural looking, and it is normal to havr nipples become more projectile when ereceted. It appears that you right breast may be a touch smaller in contrast to your left one. This can be easily adressed, if you decided to have augmentation mammoplasty.


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Good News!! You do not have Tubular Breasts.  It appears that you have a nice shape with good proprotions with a little central deflation.  A breast augmentation would fill out your breasts nicely.

Todd B. Koch, MD
Buffalo Plastic Surgeon
4.6 out of 5 stars 37 reviews

Tuberous Breasts?

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Thank you for the question and pictures.

No, I do not think your breasts have any of the characteristics typically seen with tuberous (constricted) breasts. Your breasts demonstrate changes typically seen after children (involutional hypoplasia). 

Some of the characteristics seen with tuberous breasts include 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).  

In regards to your question regarding whether you “need” breast augmentation;  the answer will depend on  what your goals are. Generally speaking, breast augmentation is a “want” not necessarily a “need” type of surgery.

If you decide to look into this operation further, visit with well experienced board-certified plastic surgeons to discuss your goals and how best to achieve them.

Best wishes.

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.