Treatment for tubular breasts & puffy nipples? (Photo)

Yes it appears you do have tuberous breasts. Tuberous breast correction is a very meticulous and specialized procedure and should only be performed by a board-certified plastic surgeon with extensive experience in this area. I prefer using a breast implant in conjunction with a periareolar incision for reconstructive tubular breast surgery as it provides the highest degree of control and accuracy when placing the implant. This surgical technique results in a natural, symmetrical, and full breast appearance. In order to restore a more ideal and rounded breast shape, you may also recommend a breast lift along with the augmentation. Each patient with tuberous breasts is unique, and so is their surgery. I would need to consult with you in person to determine the best tuberous breast correction surgery approach. 

Thank you very much for your question and photographs. From looking at your pictures, it does appear that you are dealing with tuberous breasts. Your breasts show constriction at the base, take off lower on the chest, and exhibit puffy areolae/nipples. There are excellent surgical options available today that can provide superb results for tuberous breasts. This will often include a breast augmentation, and in some situations, a breast lift. Once the constricted bands of tissue have been released, the breast skin can naturally expand. Implants will then create a full, sculpted shape for the breast. Finally, the nipple/areola can be reconstructed and repositioned for a pleasing, proportionate appearance. I suggest that you see a board certified plastic surgeon for an in-person exam, and to further discuss the best treatment option for your personal situation.

I appreciate your question.





From your photos, you appear to demonstrate characteristics of tuberous breasts.Constricted or tubular breasts tend to be too narrow with a breast crease that is too high. Tight ring-like bands of tissue around the areolae and nipples may create the appearance of protruding or puffy areolae. A higher than normal breast crease may make your nipples appear to be too low or down pointing. Constricted breast features can be very mild or severe. In fact, mild variations are relatively common. To summarize, the features can include:



         Inframammary fold (breast crease) too high         Inframammary fold misshapen         Breasts too narrow (disproportionately narrow base width)         Insufficient breast skin         Constricted or tubular shape, resulting from tight bands of tissue within breasts         Protruding or bulging appearance of areolae (pigmented area around nipples)Improvement is possible and generally includes a breast augmentation, sometimes combined with a lift (mastopexy). The lift is usually limited to an incision around the areolae. During the procedure, I release the tight, constricting bands from the inside, allowing the skin to expand properly. I also lower the inframammary fold to a more ideal position and improve its shape. Breast implants help create the right amount of volume and improve breast contours, resulting in a more rounded or tear drop shape.





The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.





best of luck!

Dr. Schwartz



Board Certified Plastic Surgeon



Director-Beverly Hills Breast and Body Institute



#RealSelf100Surgeon

Hello,Other than breast implants, fat grafting after vacuum expansion is also an option to achieve volume and shape improvement. A periareolar lift will also help to improve nipple position and symmetry. Go visit a few ABPS certified/ASAPS member surgeons.Best of luck!

Thanks for your inquiry.  You could also consider just a peri-areolar mastopexy without an implant if you did not want to increase your size.  An implant would increase size, fullness, and also give the breast a rounder shape.  Please seek the in person consultation of a board certified plastic surgeon.