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

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.

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.  

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.

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

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.  

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!

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.

Hi. You've done your research, congratulations. You have a combination of both. IMHO you would benefit from a breast lift with implnats and correction of the tuberous deformity.I woul use smooth siliocne gel implants placed in a partial sub-muscular position. As far as when to have it done really dpends on you and your priorities. It will entail an anchor type scar. When and if you have children it will affect the shape of your breasts and may require further surgery to enhace. However, if you are greatly affected by the shape of your breasts and are very self conscious in an intumate setting, then you may consider surgery at this time. No one can advise you one way or the other and only you can make that judgement. When you do......research, research and then research some more.I am certified by the American Board of Plastic Surgery and have practiced in the"land of breast implants", Miami, for the past 29 years. I encourage you to look up the surgeon you eventually select and make sure they have years of experience in performing cosmetic breast surgery. Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits?How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications.I wish you the best on your journey. I hope that the info provided has been helpful. Should you require any further clarification, do not hesitate to contact our institute. I answer all questions personally, not through patient coordinators or other marketing individuals.In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical inform

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