23 years old: I have very very triangular shaped breasts. Are they tuberous and would an augmentation solve the shape? (Photo)

Question

My breasts have practically no curvature. Just strange puffy nipples that never stay too hard.

Larry S. Nichter, MD, MS, FACS · Answer

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation.  Always insist on a board certified plastic surgeon.

Scott C. Sattler, MD, FACS · Answer

You appear to have constricted breast anatomy - the solution is generally an aggressive dual-plane augmentation with scoring and release of the lower pole breast tissue. I've developed a preference for form-stable implants in these case - they are stiffer than round gel implants and impart some shape to the lower pole, less volume to upper pole of breast. Check out the link below for an example.

Mathew A. Plant, MD, FRCSC · Answer

Yes, it does appear as though you have a mild form of tuberous breasts. This is something that can certainly be corrected during an augmentation as long as your surgeon recognizes it and releases the constricted areas appropriately. Meet with a few board-certified plastic surgeons in your area until you feel comfortable that one can do the job that you want. Best of Luck!

George Bitar, MD · Answer

You do have tuberous breast deformity.  An augmentation with radial breast tissue release would help significantly.  You would also benefit from a peri areolar mastopexy to address the areolar herniation.  Best wishes.

Thomas Fiala, MD, FACS, FRCSC · Answer

Hi.  It looks like you have several features of the tuberous breast.  I would suggest a circumareolar ("donut") lift, to reduce the areolar diameter and fullness, in addition to the augmentation.

Bryan Correa, MD · Answer

It does look like you have a mild form of tuberous breast. A breast augmentation with reshaping of the breasts may help you achieve the goal you want. On-line evaluation is of course limited so I recommend setting up a consultation with a plastic surgeon. Good Luck!

W. Bryant Walker, MD · Answer

It does appear that you have a tuberous breast deformity.  An augmentation alone will not correct the tuberous breast appearance, but other techniques in combination with augmentation would likely give you a much improved appearance.  A physical exam and an in-depth discussion would be needed to assess your goals and expectations.  It is very important to find a surgeon that will explain what is needed and what type of results are expected.  I think you would be very happy with the improvement you will get!

Miguel Gallegos, MD, FACS · Answer

This is a variant of tuberous breast.  It isn't solved with just an implant.  Nipple reduction and telescoping is necessary along with some internal adjustments.  Don't use to large of an implant.

Steven Wallach, MD · Answer

It does seem that on the photos you do have some elements of tuberous breast issues. Best of luck in your decision to move forward.

23 years old: I have very very triangular shaped breasts. Are they tuberous and would an augmentation solve the shape? (Photo)

Answers (9)

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