I am 18 years old and I believe I have tubular breasts. Will I always have this issue? Have they stopped growing?

Question

My breasts are a B cup, pretty droopy with large nipples that are puffy. Its so unattractive, i hide them from my boyfriend during sex. Its pretty sad. What can i do to fix them without my family knowing and also on a tight budget:S

Jimmy S. Firouz, MD, FACS · Answer

In order to properly diagnose you with tuberous breasts, I would need to see pictures or examine you in person. If you do in fact have tubular breasts, then tuberous breast correction and breast augmentation can be performed to give you the breast shape and size you desire and that will make you more confident! If you have a tight budget, you can look into a financing program like Care Credit, that is widely accepted at plastic surgery offices. At this point, my advice to you is to go on some in-person consultations with board certified plastic surgeons so that you can find out what exactly is needed to correct your tuberous breasts.

Aldo Guerra, MD · Answer

Hello keychain. 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.I know this is embarrassing, but it is something that a lot of women have and there are support groups. I think it's just fine to share this information with your family as they may actually be a good source of support for you. You need to start by seeking a consultation with a surgeon certified by the American Board of Plastic Surgery. Best, Dr. ALDO

Joe Gryskiewicz, MD, FACS · Answer

Hi Key Chain,I haven’t examined you, so I can't say if you really have a Tuberous
Breast contour, but 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”

Robert M. Tornambe, MD · Answer

I appreciate your concerns, but it is nothing to be ashamed of! I recommend that you get your parents involved and tell them how you feel and of your embarrassment. Without physical exam, hard to say exactly what needs to be done, but seek the opinion of a board certified plastic surgeon.

Vincent N. Zubowicz, MD · Answer

In 18 years of age of breast growth is probably complete. The architecture of the breast is genetically determined.

Rodger Shortt, FRCSC · Answer

Without a photo it is always hard to say.  It is possible that you do in fact have tuberous breasts.  I do strongly suggest a consultation with a plastic surgeon.  There are options that you can go over to decide which is best for you.  In Ontario some or all of this may be covered.  Not all surgeons will do so, but many will write a letter on their patient's behalf advocating for the government to cover the cost of surgery.  Good luck.Dr Rodger ShorttPlastic Surgeon OakvilleAss't Clin ProfessorDirector of Cosmetic Surgery Training,McMaster University

Larry Weinstein, MD · Answer

18 year old with breast that cause embarrassment, what ever your body looks like, be happy with your self. If some one does not appreciate you then find some one who does. If you are unhappy with your breasts see a plastic surgeon in consultation. It sounds like small implants and an areola procedure may improve the look of your breasts.

Luis A. Mejia, MD · Answer

Hi.... thank you for the question ... without a photo is hard to help you... consult a Board Certified Plastic Surgeon to do the diagnosis and choose a treatment.. generally surgery is the option

William Andrade, MD · Answer

If you are concerned about your breast appearance it may be worthwhile booking a consult with a plastic surgeon to discuss options like a lift, implants or both.  You are under no obligation to have a procedure but at least you will have a better understanding of the different treatments.

Steven Wallach, MD · Answer

Without seeing photos or better yet seeing you in person, it is difficult to say what would be best for you.

I am 18 years old and I believe I have tubular breasts. Will I always have this issue? Have they stopped growing?

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