Do I have tuberous breasts or are they just saggy? (Photo)

You have a degree of TBD.  I recommend a lift with implant.  The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

The conditions associated with a tuberous breast include a wide spectrum that can range from very mild to severe. Your photos suggest that standard procedures for treating tuberous breasts should allow for a good surgical outcome. Seek treatment from a board certified plastic surgeon who is experienced in this procedure. 

Based on your photos, your breasts do demonstrate signs tuberosity, which can be improved by lifting procedures. It will best to consult a board certified plastic surgeon who is experienced in cosmetic breast surgery in person and discuss your goals and options after a physical examination.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Yes you do, slightly more so on the right. However, less than very severe cases with breast tissue pushing into the nipple complex. I am not sure what you mean by done. If you just put in implants I don't think you will be happy because the main issue appears to be asymmetry, breast shape and stretched areolea. Even if you were to put in 2 different sized implants I don't think it will completely address these issues. Your best option may be releasing incisions in the breast tissue and fat grafting around the edges.I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.

Dear Candyrocks:  There are a variety of conditions which make up the broad term of "tuberous breasts".  It appears form the photos you presented that you demonstrate one of them, which is a constricted breast base.  You will likely require a breast lift along with implants to improve this but I'm confident you can achieve a very nice result.Best of luck to you! G. Robert Meger MD

Dear candyrocks,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

Tuberous breasts represent a spectrum of constricted breasts from mild to more severe. It looks to me like you have a variant of tuberous breasts. Best advice is to obtain a face to face consultation with a board certified plastic surgeon near you. They can examine you and discuss treatment options in detail.

Thank you for your question and photographs.  Tuberous breasts present in different degrees of severity.  Three hallmark features of tuberous breasts include enlarged areolas, herniation of breast tissue through the areola, and a constricted base.  It is not clear to me from your photographs whether or not you do actually have tuberous breasts.  Best to consult with a board certified plastic surgeon to discuss your particular circumstances.  Best of luck.

A tuberous breast deformity usually consists of small cylindrical shaped breasts with large, out of proportion, areolas that can protrude (puffy).  The crease under the breast is high, the distance from the nipple to the inframammary crease is too short, making the breast appear "constricted".  The name arises because the breast resembles the shape of a tuber, an enlarged area of a root vegetable like a yam or sweet potato.
The surgical correction consists of:
Reducing the size of the areolaChanging the shape of the breast from cylindrical to round with implantsLowering the inframammary creaseReleasing the constricted band under the breastThe placement of the implant can be either over or under the muscle, depending on each individual and saline or silicone implants can be utilized.  It is an outpatient procedure and the recovery is similar to a breast augmentation.  Always, Always, Always see a Board Certified Plastic Surgeon with experience in tubular breast deformities to assure the best possible result.
It appears you have a variant of a tuberous breast deformity.
Good Luck!

and yours is not an easy fix... so make sure your surgeon spends considerable time with you explaining your options and know that revisions are common in your situation.  Avoid the periareolar mastopexy as the scars end up spreading close to the same diameter your areolas started with... unless your surgeon offers you a guarantee so you're not terribly disappointed when you are all healed.  And get acquainted with your surgeon's revision policy BEFORE signing up with nonrefundable scheduling fees as there is an excellent chance you will need to use it.