Do I have constricted/tuberous breasts? If so, what would be the best method of action? (Photo)

Question

I noticed when I first started developing my breasts looked adnormal. They look normal when my nipples are erect but not so much when they are not. If I do have constricted breasts would the surgical entrance be the the areola? I am not so concerned with the nipples themselves as I am the breast shape. I have also read that constricted breasts are a symptom of PCOS is this true?

Ram Kalus, MD, FACS · Answer

The short answer is "no", you do not appear to have either tuberous breasts or constricted breasts. They may be smaller than you wish but they are both pretty and symmetrical, and essentially normal. That being said, if you have concerns about your breast or areola size or shape, it is best to schedule a consultation with an experienced  board certified plastic surgeon whose aesthetics align with your own when you review their before and after gallery. I am not aware of any correlation with PCOS but your gynecologist or internist should be able to evaluate you in this regard.Best of luck to you.

Larry S. Nichter, MD, MS, FACS · Answer

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation.  Always insist on a board certified plastic surgeon.

Marshall T. Partington, MD, FACS · Answer

You absolutely do not have tuberous
breasts. You have well-shaped breasts that will be beautifully enhanced with a
round implant, particularly on top of the muscle. Good luck.

Paul M. Parker, MD, FACS · Answer

You do appear to have a relatively mild form of tuberous breasts. This is typically treated using peri areolar incisions, release of the constricting bands in the lower breast and implant insertion. The areola may be reduced in size as well, if appropriate. Best bet is to obtain a face to face consultation with a board certified plastic surgeon. They can examine your breasts and discuss treatment options with you

Emmanuel Mallol Cotes, MD · Answer

Thank you very much for sharing your concerns with us.After having analyzed all the information and photos provided to us, i can identify that you have a underveloped and mild tubular Breast. I recommend you perform a Tubular Breasts Correction with Breast Augmentation using silicon implants, at the same surgical time.There is a surgical technique for Tuberous Breasts correction, by which it is arranged the tuberous areolar ring from inside, without requiring areolar reduction. In this technique we also need silicon implants, to get a better Breast volume and projection.Therefore it is very important that the plastic surgeon who will perform the surgery, has the skills and vast experience in this type of procedure.Respectfully,Dr. Emmanuel Mallol Cotes.-

Mark E. Mason, MD · Answer

Hello, and thank you for your question and helpful photos. Of course, an in-person exam with a board certified plastic surgeon needs to be your first step. Only then, during a physical exam + breast measurements, can a formal diagnosis be made.That said, your breasts appear to be mildly constricted with a short distance between the bottom of your areola, and the natural crease at the bottom of your breast (the "inframammary crease," or "IMC"). With an inframammary crease incision, your surgeon has the flexibility to lower the crease a bit, helping to round out the shape of your breasts. An implant will enhance the size, obviously, but also the shape. I hope this helps. Ask to see before and after photos of patients that look like you. This surgery will be personalized to your anatomy. You will love your results. Best of luck!

Martin Jugenburg, MD · Answer

Thank you for
your question and photos!

To answer the
simple question – PCOS does not cause tuberous breasts but may have the same
originations. Also, it is a rare symptom to have tuberous breasts if one has
PCOS.

Secondly, your
images do not indicate tuberous breasts, but may have some subtle signs of it.

Tuberous breast is a congenital abnormality that occurs during
puberty breast development. It can be classified by a combination of reduced
breast diameter, underdevelopment of the breasts, areolar overgrowth,
protrusion of the nipple areola complex, breast sagging, and breast asymmetry.

What you seem to have is mild constriction at the bottom of
the breasts resulting in slightly cone shaped breasts, with mild areolar
herniation. You also display a short nipple to inframammary fold distance, and
wide areola.

Correction requires total personalization, surgical
planning, technical skill and finesse, anatomical understanding, and an aesthetic
vision to achieve the most beautiful, balanced, and natural results.

The surgery will
involve releasing the constricted base of the breast while defining the
inframammary fold (breast fold). The areola reduction may be needed to help
treat the pointed and “puffy” appearance. Breast augmentation through the
inframammary incision will also provide naturally shaped breasts with an
adequate size.

Please have an
in-person consultation with a board-certified plastic surgeon, preferably with
a local surgeon so that following up with them is easier.

Hope this helps.

Deborah Sillins, MD · Answer

from your photos i do not feel you have tubular breast. Maybe a mild form of constricted breast with a short areola to fold distance. A breast augmentation would help shape your breast and give you a larger breast to go with your body.

Stuart A. Linder, MD, FACS · Answer

although you do not have all signs of classic tubular Breast, you have mild herniation of breast tissue into the Areola and the medial fold is poorly defined. A small implant using dual plane would help reshape the breast

Sheldon Lincenberg, MD · Answer

You do appear to have mildly constricted breasts along the lower and inner portions. This would be considered a form of the tuberous breast deformity. Fortunately your breasts can easily be corrected from this constricted appearance, whether or not you undergo breast augmentation.

Do I have constricted/tuberous breasts? If so, what would be the best method of action? (Photo)

Answers (17)

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