Are my Breasts Tubular/hypoplastic?

I know i must have some mild form of it, but are they severe? I don't really care about the size or shape, I basically just want the areola to be smaller. Will an areola reduction fix the problem?

Doctor Answers 14

Not Tuberous

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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!

Are these Tubular Breasts?

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Thank you for your question.  You don't seem to have a true tubular breast deformity. With tubular breasts, the lower pole of the breast (which should be round and symmetric) is narrow, constricted and tight. The breasts are usually smaller and look "cone-like" with very larger protruding areolas.

I would say that you have very natural breasts with volume loss and drooping (also called, ptosis).  If you are unhappy with the look of your breasts and areola, I would suggest performing a short scar breast lift which would lift the breast and reduce the areolar size. This can be done with or without the use of breast implants to increase volume.  The scars would be around the areola and vertical down the lower half of the breasts. In any case, always talk to a board certified plastic surgeon to make the best decision. Good luck.

Erez Sternberg, MD
Jacksonville Plastic Surgeon
4.9 out of 5 stars 33 reviews

Breast lift

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Based on your photos you appear to only have sagging breasts, known as breast ptosis.  The appropriate surgical option is a breast lift (mastopexy).  There are a wide variety of techniques.  I would most likely use a short scar circumvertical method.  This would lift the breast and reduce the areola size.  The scars would be around the areola and vertical down the lower half of the breasts.

Tubular breasts

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Hello and thank you for the question.

Your photographs do not depict the classic stigmata of tubular breast deformity which includes a breast that is small or hypoplastic (underdeveloped) with a constricted breast base, a high and tight inframammary fold (typically with an associated finding of lower pole skin deficiency), herniation of breast tissue into the areola leading to the classic "puffy areolas".

In your case, the breasts appear ptotic or saggy with large areola. This can be addressed with a mastopexy or breast lift. However, if your only concern are the areola, an areolar reduction procedure may be performed to reduce the size of the areola and create better symmetry.


Glenn Vallecillos, M.D., F.A.C.S. 

Areola reduction

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Your areolas can be reduced with circumferential incisions and repair to give you the size areolas you want.  Neither breast is tubular/hypoplastic.

Joseph N. Togba, MD
Oakland Plastic Surgeon

Vertical breast lift

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I agree with my colleagues in that you don't exhibit the classic signs of a tubular breasts. You do have a high inframmary fold with nipple-areolar ptosis. While a periareolar (donut, Benelli) mastopexy will allow you to reduce the diameter of your areolas, don't anticipate much of a lift, but you can see a flattening of the breasts. A better approach is a vertical mastopexy, that would allow you to achieve better projection and with minimal scarring. 

Jeffrey D. Hoefflin, MD
Los Angeles Plastic Surgeon


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Based on what can be seen in this one photo, your breast do not look 'tubular' or 'tuberous'.  If you desire areola reduction, this can certainly be done although, to me, your areolae do not look very large compared to the base of your breasts.

Tubular breasts

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Looking at your breasts you appear to have a minimal amount of ptosis (droop) and you also have large areolae.

A reduction of the diameter of the areolae will help tighten the breast skin envelope and will  lift the nipple position slightly, therefore inproving the appearance of your breasts.

The surgery  will leave you with a circumferential scar around the border of the areola.

Isolde Hertess, MD
Gold Coast Plastic Surgeon

Treatment of enlarged areola and tubular breasts

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After examining your photos, I would agree with the others that you do not have tubular breasts. They appear to be ptotic (droopy) with a high crease. An areolar reduction would correct only the diameter of the areola but not give much of a lift. I feel a vertical lift would correct both problems with minimal scarring.

You have large areolas without tubular breasts.

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This is a very straight forward problem.  A minimal scar (circle around the nipples) breast lift will make your areolas the right size and make your breasts look better.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

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.