Do I have tuberous breasts or breast ptosis? (Photo)

Question

Hi, I am turning 21 in a few months and am looking into getting my breasts fixed. I'm not sure if I have tuberous breasts or breast ptosis, or if it's something else entirely. What would the procedure be in my case? Additionally, is 21 too young of an age to get a procedure like this done? Are there any cons/pros in waiting until later? Or is now a good of a time as any? Thank you in advance (I apologize in advance if the images are not right side up, I didn't know how to fix it)

Aldo Guerra, MD · Answer

Hello Chasao and thanks for your question. I don't believe I see any signs of a tuberous breast in your photos. However, photos don't always tell the whole story and there might be some constriction on examination. These are the classic components of a tuberous breast:1) Puffy or herniated areola.2) Widely spaced breasts.3) High breast fold.4) Constricted lower pole or deficient tissue in lower part of the breast.5) Minimal breast tissue.6) Narrow base or small "footprint" of the breast.Again, except for the large areola, I don't see much consistent with tuberosity. You do have significant sagging and one breast is smaller than the other. If sagging can be confirmed,then you might need a breast lift, but this can only be confirmed on examination.  In the photo, you appear to be a grade 2 or 3 level of sagging of your breast tissue. In my office, patients with similar findings will be recommended a vertical or anchor breast lift and implants combination if they want the sagging to be reduced, lift the nipples to a more ideal location, and have better long term results. Based solely on your pics, I would say you're a good candidate at 21 years old for breast lift and breast augmentation with silicone breast implants. Breast implants will usually give bigger cups, with better fullness up at the top of the breasts. You might need a slightly bigger implant on your smaller left breast. Please see a surgeon certified by the American Board of Plastic Surgery. Best wishes, Dr. ALDO

Vishnu Rumalla, MD · Answer

Thanks for your inquiry and excellent pictures.  I believe you have breast ptosis (drooping) and asymmetry with posssible slightly constricted lower pole which may be asssocited with a tuberous breast.  You should seek an in person exam by a board certified plastic surgeon to discuss breast lift, breast augmentation options.

William Andrade, MD · Answer

Hello, based on the photos you do not appear to have the typical features of tuberous breasts.  Options to improve breast appearance include a breast lift, or breast lift with implants.

Shlomo Widder, MD · Answer

Dear Chasao,   Thanks for submitting your pictures. From observing the pictures, you do not have tuberous breasts but rather asymmetric B cup with level 2 ptosis and very large areolas. Your condition is very common in any busy cosmetic plastic surgery practice. The best option for you is different size breasts implants for correction of the asymmetry and mini lift ( donut ) . The procedure is one of the best investments  in yourself , that you will do in your life time. It will increase your self esteem, confidence and sense of femininity with the liberty to wear the cloths and swim suit of your choosing. So, if you can afford it, the sooner the better. Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive. Pay special attention to the cleavage area, the perkiness, the symmetry and the natural look.              Best of luck,                                 Dr Widder

Brian C. Reuben, MD · Answer

Thank you for your question and photos.  You do have a significant asymmetry between the breast and you do have ptosis or sagging of the breasts.  The breasts are slightly "constricted" in their shape, but not really a true "tuberous" breast.  Hope that helps.

Laurie A. Casas, MD, FACS · Answer

The best place to start when considering breast surgery is with an ABMS board certified Plastic surgeon who performs a lot of breast procedures to correct breast asymmetry with ptosis and tubular breasts. At your in depth consultation, you should review your individual situation, which will include an explanation of your anatomical diagnosis and all the options for correction based on your desires, expectations and your age. Possible procedures for you may include breast lift (mastopexy) with a small reduction of the larger breast with or without breast implants. The timing of the surgery will depend on many factors which mainly deal with whether your breast size and shape are stable. Breast size and shape can change with weight gain and loss and hormonal influences like pregnancy, nursing and menopause. The plastic surgeon you choose will help you understand the risks and benefits of each procedure and the best timing for them. Good luck!

Thomas A. Mustoe, MD, FACS · Answer

The precise label for the appearance of your breasts is not important. Many patients with tuberous breasts have nipples that point down, and have some degree of ptosis.  In your situation, the primary issue is breast ptosis, and you would benefit from a breast lift, and for optimal shape an implant as well.  There is no reason you could not move ahead with surgery as this age.

Luis A. Mejia, MD · Answer

Hi... Thank you for the question and photos....  You do not have tuberous Breast... You have Breast asymmetry, Ptosis and wide areola ... I suggest A breast lift, with implants for upper pole fullness and NAC symmetry to correct this.

Craig Rubinstein, MBBS · Answer

Hi chasao,

You do have very irregular, underdeveloped breasts, and there is evidence of tuberosity. Ptosis
refers to sagging, so you do present with ptosis of the breasts. I believe you
would require an in depth assessment to weigh up your options. I believe you
may require a bilateral mastopexy (breast lift), and a unilateral reduction on the right, with simultaneous bilateral breast implants. This
would require meticulous, precise planning and measurement to achieve a
pleasing result. I would recommend seeing a highly experienced plastic surgeon.All the best,Craig

Vasdev Rai, MD · Answer

You do not have a typical full blown tuberous deformity of your breasts.  You have sagging.  Breast lift will certainly be required.  Use of implants is optional. Discuss pros and cons when you are ready to proceed with your surgery.Age is right.

Do I have tuberous breasts or breast ptosis? (Photo)

Answers (19)

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