Do I have Tubular Breasts? (Photo)

Question

I am 19 years old and I am extremley bothered by my breasts. I have done research and I think they are tubular. What would you suggest would help as I have very minimal breast tissue on the underside of both breasts and neither are the rounded shape that I believe breasts should have.

Joe Gryskiewicz, MD, FACS · Answer

Hi Anonymous,Yes you have a Type I TB, and we see this frequently.  So, no need
to be disheartened.  There are four Types that are seen, and you have a
mild tendency in this direction.  You can see from the side view that your
breast comes almost straight out from your chest wall, and therefore from the
front view, the lower rounded area is not filled out.  I believe if you
want a breast augmentation surgery this would be corrected nicely.  The
web reference below has some photos of examples.  There are many
approaches.  Here are some general tips which are only my personal
opinion, not gospel:  Your fold is very tight in the breast crease. Put an
index card in your breast fold. If your nipple is at the edge of the card or
below, then you would be a candidate for a lift, either a vertical or anchor or
areolar. If you nipple is above the edge, you could be a candidate for an
internal lift called the dual plane which would avoid incisions around your
nipple.
Be sure to see only a board certified plastic surgeon (by ABPS - The American
Board of Plastic Surgery) who is a member of ASAPS (The American Society for
Aesthetic Plastic Surgery) and or a member of ASPS (The American Society of
Plastic Surgeons). Also, ask if they have an established, high volume breast
augmentation practice, performing several hundred breast augmentations each
year. Be sure the PS has been in practice for a while, 20-years or more might
be a good gauge. Does the PS offer all three incisions? Discuss the implant
type (gel or saline), shaped "gummy bear" or non-shaped, smooth or
textured, implant pocket (over or under the muscle) and the "quick
recovery approach." Ask to see their before and after photos if you didn’t
see any on their website. If they are experienced, they should have several 100
breast implant patients for you to view. I would also recommend that your
doctor offer you the chance to talk to past patients who would be happy to
discuss their experience with you. You need to feel comfortable, so make sure
the environment is safe as in an accredited surgery center. Also, ask a
prospective surgeon if he or she has ever published journal articles in
professional peer-reviewed journals, which they can provide you.
All the best, 
“Dr. Joe”

Aldo Guerra, MD · Answer

Hello anonymousg. You appear to have a mild form of tubular breasts with asymmetry. These are the classic features of the tuberous breasts:1) Puffy or herniated areola.2) Widely spaced breasts.3) High breast fold.4) Constricted lower pole or deficient tissue in lower part of the breast.5) Minimal breast tissue.6) Narrow base or small "footprint" of the breast.See a surgeon certified by the American Board of Plastic Surgery for your options.Best, Dr. ALDO.

Scott W. Harris, MD, FACS · Answer

Although your breasts do appear somewhat tubular, some women have a much worse appearance than you. When you see a Plastic Surgeon, your options will be presented to you. There are a lot of different ways to improve your appearance and it will be explained in detail. Good luck!

Vincent N. Zubowicz, MD · Answer

You do have constricted breasts with some asymmetry. Depending on your aesthetic expectations they can be dealt with by breast implants placed in a sub glandular position accompanied by release of the base the breast. If you're also displeased with the areola a concurrent mastopexy could be done to address these problems.

Vishnu Rumalla, MD · Answer

Thanks for your inquiry and picture.  I agree you do have tubular breasts.  At age 19 your breast shape may change over the next few years.

Mathew A. Plant, MD, FRCSC · Answer

Yes, it does appear as though you have a form of tuberous, or tubular, breasts. This is something that can certainly be corrected as long as your surgeon recognizes it and releases the constricted areas appropriately. Meet with a few board-certified plastic surgeons in your area until you feel comfortable that one can do the job that you want. Best of Luck!

Keith Hodge, MD · Answer

Unfortunately, your photo does demonstrate tubular or tuberous breasts. Surgery can certainly help this appearance with an augmentation which will expand the base of the breast combined with a mastopexy to decrease and elevate the nipple areolar complex. Good luck with your procedure!

Luis Macias, MD, FACS · Answer

Based on the photo that you provided, it does appear that you have tuberous breasts.  If the appearance of your breasts is of concern to you, seek a consultation with a board-certified plastic surgeon for an in person consultation.  During the visit, you can discuss your concerns and the options specific to you.  I hope this helps and best wishes.

Luis A. Mejia, MD · Answer

Hi... Thank you for the question and photos.... From the photo i can say that you have some characteristics of tuberous breast... To treat this I will suggest you breast augmentation sur

William Andrade, MD · Answer

The photo provided only shows your central chest and the inner part of each breast.  Based on what can be seen, there could be come features of tuberous breasts like low nipples and relatively little tissue on the lower and inner breast.

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