Do I have tuberous breasts/hypoplasia? Moving forward with breast augmentation and want to make the right choice.34 y/o

Unfortunately, surgeons have created the term tuberous breasts, a fact which causes unnecessary concerns for women. Many women just have different sizes and shapes and in my opinion shouldn't be labeled. I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Both of your breasts are narrow and tuberous like, one more than the other. The way to change the existing shape is with surgery to expand narrow breast shape. Due to discrepancy in size, I would consider reduction of the larger breast to avoid long term problems with asymmetry and ptosis. Once shape of both breasts is changed, symmetry of areaola size and position (lift) achieved, breasts should be augmented with implants. In person consultation with a board certified plastic surgeon whith experience in tuberous breast treatment, is recommended.

Thank you for your question and photos. An examination in person would be required to properly evaluate you and make specific treatment recommendations. That said, however, from your photos it appears that your smaller left breast has elements of a tuberous breast deformity with a constricted lower pole and slight herniation beneath the the areola. You need to decide what bothers you versus what doesn’t bother you. The shape of the breast is more altered by a mastopexy (breast lift or tightening) which can address some of the sagging and the areolar herniation. An asymmetric breast augmentation would help achieve a size increase and complete the aesthetic enhancement you are seeking.

Please consult with an experienced board certified plastic surgeon whose results appeal to you based on his or her Before and After gallery. If you have doubts or concerns after your first consultation consider a second opinion. While there are no guarantees of a complication free optimal result, you want to definitely be as confident as possible with your surgeon and his or her office staff before scheduling g your surgery. Best of luck to you.