Are my breasts tubular or just small?

Thank you for your question and pictures. From the pictures you provided, it doe not appear that you have a tuberous breast. You do have a tight or constricted lower pole (the area of the breast from the nipple to the fold). A well planned augmentation could definitely meet your goals. 

Thank you for your question.  I would suggest doing a breast augmentation.  Placing an implant under the muscle will help with size, improving the shape, and still keeping the breast looking natural.  I would suggest seeing a Board Certified Plastic Surgeon so they can evaluate you.  In regards to pricing that varies by surgeon and type of implant. During your consultation they will be able to tell you all the financial information.  Best of luck to you. 

Hello, thank you for your question. It appears that you may benefit from a breast augmentation, I recommend you to schedule an email, Skype or in-person consultation with a board certified plastic surgeon for proper evaluation.

Hello dear!
Thank you for your question and provided information as well..
Based on your photos, it seems that you have just small and symmetrical breasts for which you wish to add more volume. There are many ways that plastic surgeons perform measurements in order to determine which breast implant size, style and shape will best suit your goals. It is important that you communicate to your board-certified plastic surgeon what are expecting, to make certain that your goals are realistic. It's helpful to show pictures of results you'd like, but please keep in mind that these are other people and your body is different from everybody. In my office, we use a method of sizing with silicone gel forms of known volumes. This is proven to be a very accurate means of determining what size will might be of additional interest to you as well.
Know that the price depends on 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.   
Hope this helps and best of lucks.
Dr. Luis Mejia.

Your breast have minimal herniation of nipple but no evidence of tubular breasts. You will benefit from breast augmentation with silicone implants though fat transfer is an option. Implant will give better projection and satisfactory results. Fat transfer will involve multiple procedures and unlikely to give desired projection. 

Hello and thank you for the question and sharing your photos. You don't have tuberous breast deformity. I believe you are an excellent candidate for breast augmentation. Topics to discuss with your surgeon are type of implant (gel vs. saline, smooth vs.textured), location of incision (peri-areolar, inframammary crease, arm-pit) and location of the implant (above or under the muscle). There are advantages and disadvantages to each technique. 
In term of implant type, saline or gel implants, each have their own advantages and disadvantages. Gel implants have a more natural feel and tend to have less rippling (implant visibility) compared with saline implants. Patients with gel implants are recommended to have periodic surveillance MRIs (every 3 years) to check for rupture/leak. Having said all that, both gel and saline implants can give nice natural results. Ask your surgeon to discuss these options with you. 

As far as texturing and shape are concerned, textured implants have been linked with a rare form of local lymphoma (also known as ALCL). Shaped implants can rotate in the pocket and cause  problems. I would only use smooth round implants, which give very nice and natural results. 

In terms of the incision, inframammary incision is a common approach that gives great access for creation of a natural pocket, heals very well and can be hidden under bikini. Periareolar approach can be utilized in patients with medium to large areola diameter. Trans-axillary approach is more challenging and associated with higher incidence of implant malposition, particularly in inexperienced hands. Additionally, if a revision is required, additional inframammary incision will likely need to be made to access the implant pocket.

Placing the implant under the muscle is associated with a smoother and more natural upper pole slope., and less risk of capsular contracture. Placing the implant above the muscle, in particular in thin-skin individuals can have the downside of visible rippling.

Regarding the implant size, many factors including patient's desired breast size, skin envelope (both quality and quantity) and breast width diameter among others are important in selecting the implant size. Choosing the right implant should be a shared decision between you and your plastic surgeon. In a typical consultation, you try a variety of in-bra sizers and in combination with several other measurements that your surgeon will do, the final implant volume is selected. Best,

Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon

 

Hi,From your pictures it does not appear you have a classic tuberous breast. It appears that the lower portion of your breast may be somewhat constricted or tight. This is not uncommon.If you are self-conscious of the size and shape of your breasts, you'd be an excellent candidate for a breast augmentation with implants. Make sure you visit with a board certified plastic surgeon, because a breast augmentation needs to be well planned to achieve the goals you are looking for.Another option would be fat grafting, however this only allows for small volume augmentation.All the best,Dr. B

Thanks for your question! I understand you are self-conscious, but I do think they are just smaller than you'd like. The good news is I think you are a great candidate for a breast augmentation with a moderate sized implant. Please be sure to consult with a board-certified plastic surgeon for an optimal outcome! Good luck!

Dear Libby, you have slightly conical shaped breasts but no I wouldn't say you have tuberous breasts. You can enlarge your breasts by implants or fat injections. The implants have more power to change the shape of your breasts if this is what you want (eg. rounder breasts) and only require one surgery (although revisional surgery is likely some time later in your life). You may require more than one session for fat grafting and so it then works out more expensive then implants, but you are less likely to need further surgery later on in life.

Dear Libbyloo4Many thanks for posting your question and photographs.The terms tubular or tuberous for breasts are descriptive, and as such there is some disagreement about using the term when women have very mild versions. The key, however, is what procedure might help to reshape and enlarge your breasts.You might have two options - either using breast implants, or alternatively using fat grafting (your own fat). Both options have advantages and disadvantages, and the next step would be to arrange an in-person consultation once the COVID restrictions are lifted.Please look at the link attached for more information