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

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

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

Thank you for your question and photographs. I do not see evidence of constricted or tuberous breasts in your photographs.  You have evidence of breast asymmetry and breast ptosis.  Your condition could be improved with a breast lift to elevate the breasts, improve symmetry and reduce the size of the areola.  Be sure to see and experienced, board certified plastic surgeon.