Do I have tubular breasts? They look slightly better when the nipples are erect but otherwise they droop a lot. (photo)

Question

Hi, I’ve always suspected I have tubular breasts.I’m considering consulting a surgeon to see how this might be corrected. Thanks

Raymond Goh, MBBS (Hons), FRACS (Plast) · Answer

Hi. Thanks for posting your photo and questions.
It's hard to determine how droopy your breasts are in the photo as your arms are lifted (which lifts the nipple in relation to the breast base); however, it does not appear that you have the classical appearance of tubular breasts. 
Discuss with your specialist plastic surgeon about your goals, be it breast shape or size, or both.
All the very best.
Dr Ray Goh

Leila Kasrai, MD, FRCSC · Answer

Based on your photo, it doesn’t look like you have tuberous breasts. However, it can sometimes be difficult to determine whether someone has tuberous breasts from photos alone, particularly when they show only the front. Tuberous breast traits include an undefined breast fold, constriction of tissue around the nipples/areolae, and nipple puffiness.

Vishnu Rumalla, MD · Answer

Thanks for your inquiry, I do not think you have tuberous breast deformity. A breast augmentation would increase size and fullness, good luck.

Joe Gryskiewicz, MD, FACS · Answer

Hi Pheobe,TB are classified I-IV.  You really don't have the criteria.  You have telemastia, which means your mounds are far apart and in the middle this gives you an "A" frame look or and "upside-down V".  Your anatomy is very common.  Implants should alleviate all this.  Consider going on top of the muscle with an implant that wrinkles less, such as the Mentor Xtra mod + profile.  That could be a good fit, but see a BC/BE PS.  All the best, Dr. Joe

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for breast augmentation with implant in your case for best result you can apply for position sub muscular , its recommended if you get a consultation in person with a plastic surgeon to determinate how many cc do you need to the better results.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  You do not appear to have classic characteristics of tuberous breasts such as lower pole constriction, high riding inframammary fold, or areolar herniation.   Based on
your photographs, you are a candidate for a breast augmentation, if you are interested in increasing the size of your breasts.  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. 
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Daniel Barrett, MD · Answer

Dear pheobe20,tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Pejman Aflaki, MD · Answer

Hello and thank you for the question. I don't see classic characteristics of tuberous breast deformity, which typically includes high inframammary crease, constricted lower pole and herniation of breast tissue into areola. Your breasts are somewhat hypoplastic (under-developed). I believe you are a good candidate for breast augmentation using implants. I would consult with a qualified plastic surgeon for a formal evaluation. Best,
Pejman Aflaki, M.D.
  
Johns Hopkins-trained plastic surgeon

Camille Cash, MD · Answer

It does not appear from the photo you submitted that you have tuberous breasts.  You do appear to be a good candidate for breast augmentation if you are considering increasing the volume of your breasts.  I encourage you to see an experienced plastic surgeon in your area to learn more.

Karen Leong, MD · Answer

Hello, thank you for your question. When we surgeons define someone's breasts as tuberous, what we look for are the following: flattening of the inner lower quadrant of the breast, tight and constricted skin between the breast crease and nipple, herniation of fat or breast tissue into the nipple areolar complex, and/or a very narrow breast on a normal chest wall. This constellation of findings helps grade the severity of tuberous breast deformity and also guide in treatment.While an in person consultation is the best way to assess your breasts and give proper recommendations, on looking at your photos you do not appear to have tuberous breasts. In fact, you appear to be a good candidate for breast augmentation with implants placed under the muscle. This will correct the drooping and give you better symmetry and volume.Make sure you consult w a qualified plastic surgeon who will answer your questions and fit your needs! I hope this helps. - Dr. Leong

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