Do I Have Hypoplasia? (photo)

Question

I have self diagnosed myself with Insufficient glandular tissue after failing to lactate after my first baby. Can you confirm I have this? My breasts have large areola and are not equal in size. They are wide apart and the nipples point downwards. Please help.

Nagi T. Ayoub, MD, FACS · Answer

Hello!
Based on your photos , it looks as though you have tubular shaped breasts.  I would not agree with your diagnosis of hypoplasia.  This can be improved with an augmentation and a breast lift /areolar reduction.

Good luck with any future surgeries!.

Tim Neavin, MD · Answer

Thank you for your question and photos. Looking at the photos you provided, your breasts are tubular shaped with sagging. Since many things contribute to sagginess, women can experience it at different times. One of the many factors is aging for all women. I would suggest to meet with your surgeon and discuss breast augmentation with lift. Please see my attached link to my website and various questions and answers. Many of my patients find it very helpful.

Joseph C. Berardi, MD · Answer

Your breasts have a very typical appearance of tuberous breast deformity.  It can be corrected with an implant and a breast lift /areolar reduction.  Depending on the surgeon, you may be advise to perform a combined procedure or two separate procedures.  Either way, you can have a greatly improved breast shape.  

	Joseph C Berardi, MD

Paul Gill, MD · Answer

Thank you for sharing your photos.   Based on your photos, you have tubular breasts that are sagging/ptotic with asymmetry in size and shape.    You will most likely benefit from a breast augmentation with circumvertical lift to correct your size and shape concerns.

	In terms of small breast size, we commonly diagnose this as hypomastia.   Best wishes.

	Dr. Gill

Jourdan Gottlieb, MD · Answer

Hypoplasia implies very small amount of breast tissue. Even patients with small amounts of breast tissue can usually nurse, so I would not concur with your self diagnosis. 

	You may have a variant of what is called a tubular breast deformity. There are a number of features that define a tuberous/tubular breasts

	•Wide and puffy areolas

	•widely spaced breasts

	•high breast fold

	•constricted lower pole (deficient tissue in lower half of the breast

	•minimal breast tissue

	•narrow base of the breast

	Some of these are present in the photos. This is something that can be improved in appearance by a plastic surgeon. It is not related to any nursing problems.

	When you are ready for an in person consultation,RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified,  but also is a member in good standing of the major plastic surgery organization in the U. S. Thank you for your question, best wishes.

Do I Have Hypoplasia? (photo)

Answers (5)

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