Do I have tubular breasts? Do I need to lose weight before my breast augmentation consult? (Photo)

There is not much to be gained by labeling someone with
tuberous breasts. An operative plan should be developed based on your
anatomy. Whether that is breast implantation, lift or reduction,
symmetrization or some combination of procedures, there is no particular point
in stigmatizing your breast shape. A properly trained, skilled and
ethical plastic surgeon can develop a plan based on your anatomy and give you
the outcome that you desire. I see absolutely no point in diagnosing
someone with tuberous breasts or restricted base deformity. Stigmatizing
a young person can have an effect on the way they perceive the outcome, even if
it is outstanding.You are an excellent candidate for breast augmentation,
you just need to find a surgeon with the right skills.

I appreciate
your question.From your photos, it appears you do have 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
highInframammary fold misshapenBreasts too narrow (disproportionately
narrow base width)Insufficient breast skinConstricted or tubular shape, resulting
from tight bands of tissue within breastsProtruding 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

Your posted photos show asymmetric, differently shaped breasts with a high inframammary fold and larger areola on the left. I would not call them tubular because the bases are not constricted. I do not think you need to lose weight before undergoing surgery. It is clear that just putting in implants will not give you an optimal result because you need adjunctive breast procedures to make the breasts more similar at the time the implants are placed. An additional problem you have is all of those stretchmarks which may become more visible with implants under them. Since there is no obvious reason why you have those stretchmarks you should have a medical workup prior to surgery. Ignoring a medical reason for them could set you up for even more stretchmarks after breast augmentation and ruin and otherwise good result.My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.