Tuberous breasts or inverted/flat nipples? (Photo)

Question

Thinking I might have tuberous breasts, but don’t want areola scars or implants. However I LOVE the shape of my breasts when the nipples are erect. When erect, the domed appearance of the nipple is reduced and the ENTIRE breast seems rounded and fuller and a very different shape. Is there a way to make the nipple/ breast shape like this permanently, through something like inverted nipple/ gynecomastia surgery but for women? If not, can tubular be corrected without areola scars or implants?

Anthony Barabas, MBBS, FRCS (Plast) · Answer

You have very slight doming of your areolae, or at least whilst your nipples aren't erect. Herniation of the areola is a feature of tuberous breasts, but yours are very mild. In my mind you would also need to have constricted lower poles to your breasts to be called tuberous breasts, which you do not have.  Yours is just a normal variation of the areola. If you are after surgery with no visible scars then there isn't really a good option that I can think of for you. If your nipples were inverted and you wanted them permanently "out" then nipple inversion surgery leaves almost invisible scars. Your best option would be breast augmentation surgery to fill out the whole breast skin, and leaves only a 4cm scar in each crease. But as you are happy with the size, then I would suggest doing nothing.

Leila Kasrai, MD, FRCSC · Answer

There does appear to be some constriction of tissue around your areola, leading to a tubular appearance. Constricted tissue can be surgically released to allow for more protrusion of the nipples, giving you a rounder breast shape. No implants are needed, however as with any cosmetic breast surgery, this procedure does have related risks (such as negative impact to breastfeeding ability and changes in nipple sensitivity).

Gary M. Horndeski, MD · Answer

Your breasts are not tuberous, they are simply widely separated.  The technique I recommend is a mini lift.  Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Fantastic727510,
tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Williams Bukret, MD · Answer

Dear Fantastic727510,
In my opinion, you have normal beautiful breasts, no "tubular". Also, be aware that dynamic changes in nipple-areola size and shape are normal during erection, and that changes will naturally occur influenced by hormonal changes like during pregnancy and after breastfeeding. 
So, there is nothing wrong to be corrected. That said, if you want to enhance breast volume, you might consider fat grafting or implants.
Hope this helps!
Kind regards,:)Dr Bukret

Tuberous breasts or inverted/flat nipples? (Photo)

Answers (5)

Answer: Tuberous breasts

Answer: Tuberous breasts

Answer: Normal beautiful breasts

Answer: Normal beautiful breasts

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Everything you need to know about Tuberous Breast Correction Surgery

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Tuberous breasts or inverted/flat nipples? (Photo)

Answers (5)

Answer: Tuberous breasts

Answer: Tuberous breasts

Answer: Normal beautiful breasts

Answer: Normal beautiful breasts

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Recommended reading

Everything you need to know about Tuberous Breast Correction Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.