36, female, underdeveloped breasts, tubular, or both? (Photos)

Unfortunately, surgeons have created the term tuberous breasts, a fact which causes unnecessary concerns for women. Many women just have different sizes and shapes and in my opinion shouldn't be labeled. I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

It doesn’t look like your larger breast shows any tubular breast traits. There is no constriction of tissue around your nipple and you appear to have a distinct breast fold. For your smaller breast (the left one in the photo), it is difficult to say for sure as that breast is cut off in the side view photo.

Thank you for your query. You do have elements of both and also some asymmetry, but these are just terms. There is a wide variety of “normal” , and if this does not bother you stop worrying about it. If the shape or the size of your breasts bothers you , there are a variety of treatments available to improve both. Please find an experienced Board Certified Plastic surgeon near you who can examine you and help you with all your concerns. All the best!

Dear britchi007,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hi Britchi007, It would take an in-person exam to determine whether you have tubular breast deformity, although it does not appear so from what I can see. You would still have an excellent result from breast augmentation if you chose to enlarge your breast. (IMO)

The major, dominant feature in your case, is breast assymmetry; both breast have shorter distance from nipple to breast base (inframammary fold), that needs to be considered when augmentation is planned. My suggestion is to reduce larger breast to the size of smaller and then proceed with augmentation of both; using implants of different volume is also an option. Starting with smaller implants, 250 ml. range would be safer due to discrepancy of lower pole developmnet. Hope this helps.

Yes, you have underdeveloped breast and tubular breast, you need breast implants under the breast tissue

There are a lot of different characteristics of tubular breasts and not all tubular breasts look the same. Tubular breasts are a developmental problem. They are characterized by low nipple position, conical shape, high inframammary crease, sometimes involve puffiness to the areola or a constricted appearance. It is also very common that women with tubular breasts have significant asymmetry. The good news is that your case of tubular breasts does not appear to be severe. Breast implants and/or a breast lift would be a great choice.

A board-certified plastic surgeon is qualified to address your issues. Board-certified plastic surgeons have spent years of training and have the top level of experience and skill. Seek out a board-certified plastic surgeon for your cosmetic needs.

you have significant breast asymmetry, hipoplasia and mild tubular breast deformity. the volume asymmetry could be fixed with different size implants and left breast needs glandular tissue reshaping and lower pole expansion to fix the deformity