How mild/severe are my tubular breasts? (Photo)
Doctor Answers 11
I agree, based on the pictures, you may have a tuberous component to your breasts. A combination of breast implant placement, with a procedure to make your areolae more centralized and smaller, combined with release of the tissues to improve the fold position, would likely give you a breast shape that is more pleasing to you. I recommend visiting with a board certified plastic surgeon who can evaluate you in person and discuss your options. Best of luck!
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How mild/severe are my tubular breasts?
Constricted or tubular breasts tend to be too narrow with a breast crease that is too high. Tight ring-like bands of tissue around the areolae and nipples may create the appearance of protruding or puffy areolae. A higher than normal breast crease may make your nipples appear to be too low or down pointing. Constricted breast features can be very mild or severe. In fact, mild variations are relatively common. To summarize, the features can include:
- Inframammary fold (breast crease) too high
- Inframammary fold misshapen
- Breasts too narrow (disproportionately narrow base width)
- Insufficient breast skin
- Constricted or tubular shape, resulting from tight bands of tissue within breasts
- Protruding or bulging appearance of areolae (pigmented area around nipples)
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
best of luck!
I haven’t examined you, but yes I would say you have a Type I Tuberous Breast contour, and we see this frequently. So, no need to be disheartened. There are four Types that are seen, and you have a mild tendency in this direction. You can see from the side view that your breast comes almost straight out from your chest wall, and therefore from the front view, the lower rounded area is not filled out. I believe if you want a breast augmentation surgery this would be corrected nicely. The web reference below has some photos of examples. There are many approaches. Here are some general tips which are only my personal opinion, not gospel: Your fold is very tight in the breast crease. Put an index card in your breast fold. If your nipple is at the edge of the card or below, then you would be a candidate for a lift, either a vertical or anchor or areolar. If you nipple is above the edge, you could be a candidate for an internal lift called the dual plane which would avoid incisions around your nipple. However, fat grafting will help give you a more normal shape if you do this at the same time as you have implants.
Be sure to see only a board certified plastic surgeon (by ABPS - The American Board of Plastic Surgery) who is a member of ASAPS (The American Society for Aesthetic Plastic Surgery) and or a member of ASPS (The American Society of Plastic Surgeons). Also, ask if they have an established, high volume breast augmentation practice, performing several hundred breast augmentations each year. Be sure the PS has been in practice for a while, 20-years or more might be a good gauge. Does the PS offer all three incisions? Discuss the implant type (gel or saline), shaped "gummy bear" or non-shaped, smooth or textured, implant pocket (over or under the muscle) and the "quick recovery approach." Ask to see their before and after photos if you didn’t see any on their website. If they are experienced, they should have several 100 breast implant patients for you to view. I would also recommend that your doctor offer you the chance to talk to past patients who would be happy to discuss their experience with you. You need to feel comfortable, so make sure the environment is safe as in an accredited surgery center. Also, ask a prospective surgeon if he or she has ever published journal articles in professional peer-reviewed journals, which they can provide you.
See the excellent answer below by Dr. Mustoe, also.
All the best, “Dr. Joe”