What could be done about my puffy nipples and pointy breasts? (Photos)

Question

I am almost 20 years old now and I am a bit concerned about how puffy my nipples tend to be. As well as how pointy my breasts look...I was wondering what I should do?

Daniel Barrett, MD · Answer

Dear tking2242,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. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ali Sajjadian, MD, FACS · Answer

Based on your pictures, You appear to have a tuberous breast malformation in your breast, which is often referred to as tubular breasts or constricted breasts, occurs when the breasts become abnormally long or cylindrical. When breast tissue doesn't develop normally throughout puberty, this happens.   
The following are typical characteristics of tuberous breast deformity:
-Longer shape: Rather than being spherical, the breasts seem more tubular or cylindrical.   
-Narrow base: The breast's base is smaller than it should be.   
-Enlarged areola: There may be a greater than usual amount of pigmentation surrounding the nipple.   
-Inversion of the nipples: The nipples may point inward.   
There are a few surgical techniques to change the form of your breasts if you're not pleased with how they look, and I believe a mix of these methods would work best in your situation.
-Breast augmentation is the process of putting breast implants to give the breasts more volume and form.   
-maastopexy :Lifting and reshaping the breasts is known as maastopexy, and it is frequently paired with breast augmentation or reduction.   
-Areola Reduction: You might get your areolae reduced if they are noticeably big.   
It's crucial to speak with a licensed plastic surgeon to see you and after exam, he can go over your alternatives and choose the best course of action for your unique requirements and objectives.
Hope this was helpful
Best wishes
Dr Ali Sajjadian (Triple Board Certified plastic surgeon)

Ryan E. Austin, MD · Answer

Hi, thanks for your question. From your pictures it looks as though you may have tubular breasts. These aren't cause for concern from a medical standpoint, but if they cause you insecurity, I recommend that you book an in person consultation with a board certified plastic surgeon in order to explore your cosmetic options.

Paul Vitenas, Jr., MD · Answer

Thank you very much for your question and
photographs. From your pictures, its appears that you have tuberous breasts.
This is a condition in which breast tissue is constricted, creating elongated,
pointy breasts and soft, puffy nipples. Tuberous breasts can be successfully
corrected with a surgical procedure. During a breast augmentation, the constructed
tissue will be released, implants placed to add volume, and the nipples resized
to create an aesthetically pleasing proportion. I recommend scheduling an in-person
consultation with a board certified plastic surgeon. At this time, he/she can
examin your breasts and review your medical history, explaining all of your
options for correction.

Bradley A. Hubbard, MD · Answer

Thanks for your question and pictures. This breast shape, known as tuberous breast, is something that plastic surgeons see all of the time. If you are happy with your current breast size, then a "breast lift" procedure could be performed. I used the "" because you don't need a lift as much as you need flattening of the shape. In this case the Benneli or donut lift is ideal. The scar would be placed only around the edge of the areola. Best of luck!BH

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You appear to have tuberous breasts.  You are a great candidate
for a breast augmentation with release of lower pole constriction bands.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon. Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Eric Wright, MD · Answer

Hi tking2242, your pictures having findings of a condition known as tuberous breast, a congenital breast deformity. Improvement in the shape of the nipples and breast can be corrected with a procedure. After a thorough examination by a board certified plastic surgeon who specializes in breast surgery, who will be able to discuss your options. Good luck.

Dr. Wright

Dr. Wright

Douglas L. Gervais, MD · Answer

Dear tking, You appear to have a mild tuberous breasts, more so on the right than the left. This can be corrected with surgery and you can increase volume and shape with a modest implant. Good luck. Dr. Gervais.

Vaishali B. Doolabh, MD, FACS · Answer

Hi.  You would be able to round out and volumize your breasts during augmentation surgery, the nipple "puffiness" can be lessened at the same time with well concealed scars on the areolar border.  You have several of the anatomical characteristics of tuberous breasts so be sure to seek an ABPS certified PS for the special training and experience needed for this. Best wishes,

Aldo Guerra, MD · Answer

Hello TKing.I believe you need to see a plastic surgeon to examine your breasts and identify the cause of your breast structure. It looks to me like breast implants can change the shape of your breasts and make the nipples less noticeable. Best wishes, Dr. ALDO

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