Best options for tubular (I think) breasts with large areola and flat, low nipples? (Photo)

Hello, based on the photos your breasts do not appear to have many of the typical features of tuberous breasts.  However, if you are dissatisfied with the nipple position and breast shape, a plastic surgeon could provide options to address these concerns.  The best procedure would depend on your goals, i.e. whether you want to have larger breasts, remain the same size, tolerance of scars on the breasts, etc.

Dear Annie,Thanks for your questions.  While there is some constriction of the lower pole of the left breast, which is a feature of tuberous breasts, your breasts are not a classic example of tuberous breasts.I believe your left breast would do well with a straightforward augmentation.  A breast implant placed over the muscle may be the best choice to improve the shape.On the right side, you do need a lift.  A vertical pattern lift should be enough.  The areolar diameter could be reduced during the lift as well.  Aloha,Shim Ching, MD

You appear to have some asymmetry of your breasts, with one slightly larger and "droopier" than the other. Not sure you need a full lift just based on your photos but you could definitely benefit from a peri-areolar lift to help reduce the diameter of the areola and even out the nipples. Best to see a board certified plastic surgeon who takes the time to properly examine and evaluate you and recommends the best procedures for you! Good luck! 

Aloha Annie,From your photos it doesn't really appear that you have Tuberous breasts, or at most a very mild degree. I think you just have sagging, especially on the larger right breast.The sagging, large areolas, and asymmetrical shape /size could all be addressed with a Breast Lift. Adding High-profile implants under the muscle would add to the 'perkiness'!I would recommend you seeing an experienced Surgeon Certified by The
American Board Of Plastic Surgery[ABPS] and a member of The American
Society of Plastic Surgeons (ASPS) for a consult.Mahalo, Dr D

Thank you for your question.  I don't feel that your breasts are tubular.  Tubular breasts have a narrower base and very large areola with herniation of breast tissue into the areola.  You really have breast ptosis on the right and enlarged areolae.  The reason you like the appearance of the breasts when the nipples are erect is that the musculature within the areola is pulling together and taking up some of the excess skin of the  breasts.I would recommend circumareolar breast lift.  The procedure involves repairs hidden around the areolar boarders. The excess skin is removed from around the areola reducing its size as well.  The skin is undermined and advanced to the new areolar boarder in with a permanent suture under the skin in a purse string fashion.  The size of the breasts can be made more symmetrical by removing some tissue from the right side.  Initially, you will have some wrinkling around the areola but this  will flatten out over time.You mention wanting to be more perky.  Whether you are perky enough after the circumareolar breast lift really is what you will  think of your results.  Getting more perkiness sometimes requires a breast implant.  I would strongly recommend that you do the lift first, see how you  like it, and then decide if you want a breast implant augmentation.  The reason for this is that it is technically challenging to do breast lift and implants at the same time.  I, and many other plastic surgeons will do this, but when there are other factors such as asymmetry in size and shape , amount of ptosis, nipple location, it is best to separate the procedures.I wish all the best and happiness to you.

Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and
concerns.

Having said that, I do NOT think you have tuberous breasts from the
pictures. I see no constriction nor breast distorting your areolas. Tuberous
breasts have a great deal tightness in the lower half of the breast. So much so
that the breasts will not develop in the lower half. When the breast does start
to develop, it will actually grow and extend into the nipple area and make the
areolas dilate and protrude. You do not have this. You may some very mild
constriction (doubtful), but more likely you have small, underdeveloped,
different shaped breasts.

Best wishes,

Dr. Michael J. Brown
Northern Virginia Plastic Surgeon

It does not appear that you have tubular breasts, but you have some asymmetry between your breasts. ou would definitely require a lift on the right breast to help match the appearance of the left breast. A small implant may also give you a more rounded appearance as well. Please consult with a board certified plastic surgeon in your area for specific recommendations in your case.

Judging from the photos I would not say that you have tuberous breasts.  You do have loss of fullness in the upper breast along with a significant asymmetry.I would recommend an augmentation with a lift.  The augmentation would provide volume to give more fullness in the upper breast.  This will also improve projection.  The lift will raise the position of the nipple and areola which is most important on the lower right side. This will also allow reduction of the areolar diameter. Have 2-3 consultations with board certified plastic surgeons in your area so you get a couple of different opinions as to what will be best for you following an in person examination.Best of luck.

Hello, thanks for your question, your breasts are asymmetrical but not tuberous, tuberous breast is a more complex deformity that consists in a constricted base of the breast, breast tissue herniated trough the areola and a superiorly implanted fold. The procedure indicated for you is a breast lift with implants and symetrization. This procedure has a recuperation time of 4 weeks. costs varies from US$3,000-4,000.Regards, Dr. Kemil Issa