Do I Have an Unusual Case of Large Tuberous Breasts? (photo)

Yes most tuberous breasts are small, but you definitely have all of the other symptoms of tuberous breasts including a high riding fold underneath the breasts, widely spaces breasts and herniation of the breast tissue into the nipple causing a very wide nipple appearance.  Good luck.

Yes, you have pretty classic tuberous breasts.  I find that a vertical mastopexy and implants work well in this situation.  The excess breast tissue under the areaola is removed this way (converting tuberous breasts to non-tuberous breasts), the volume is restored using implants, and the areola is made much smaller, with minimal skin tension.  The technical name for this operation is a vertical augmentation/mastopexy.  Some other techniques such as a periareolar mastopexy do not tend to work as well and can create an operated appearance around the areola because of skin tension.  I've attached a link to my website.

You likely do have a variant of tuberous breasts, but not the typical type with a flattened, tight lower half of the breast. More important than labeling your condition as tuberous breasts vs. ptotic (droopy) breasts, etc. is determining how you might obtain improvement. You would require a combination of a lift and implants. The lift can raise your nipples to a better height, eliminate the elongated appearance of the breasts, and decrease the large areolar diameters. The implants will provide the fullness that is absent, and can also help to narrow the distance between the breasts to an extent. Good luck!

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.

Your breasts are very ptotic, too far apart with large areolas.  You would benefit from a new technique called Breast Augmentation with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to place the implant, reshape your breast tissue to increase upper pole fullness and move the breast more medial to increase cleavage.  Aligning the areola, breast tissue and implant high on the chest wall over the bony prominence will give you the maximum anterior projection with a minimal size implant.  Whether you have a case of tuberous breasts or not is irrelevant.  You would be an excellent candidate for this new technique, which leaves no vertical scars like the lollipop or boat anchor shaped incisions.

Best Wishes,

Gary Horndeski, M.D.

You may have tuberous breasts, but they are not classic in that sense. Regardless of what you want to call it, you can correct it with a lift if you want to. A breast lift (mastopexy), will lift the breast, round out the shape, and make the nipple areolar complex smaller.

Whether your breasts are actually technically what is known as " tuberous" is not that important from a treatment standpoint.  You need a full lift done with a small implant.  It can be done in one or two stages. In the two stage procedure, the lift is done first and an implant added a few months later.

Thanks for a great question.  I do think you have tuberous breasts.  Most importantly you need to be seeing a surgeon who who understands the components involved in the shape of your breasts and will reccomend a plan that helps correct them. Your surgeon must also set reasonable expectations.  Good luck.

    You have large areolae with herniation and you have elements of constriction and widely spaced breasts.  You will need a full breast lift to help with the droop that is present as well as correcting everything else.  If you would like more size, an implant could be placed at the time of the breast lift.  Find a board certified plastic surgeon with ELITE credentials who performs hundreds of breast lifts each year.  Kenneth Hughes, MD Los Angeles, CA

Hello, and Thank you for your photos.  Yes,  your Breasts look  typically Tuberous, and not in a  unusual size, at all.   My recommendation will be:  Periareolar Mastopexy (Lift) w/ Subglandular,Silicone High-Cohesive Implants .  Just remember that it will take a  few months for the tissues to relax and  acheive  the desired new breasts shape and cup. 

Best Wishes