Do I have tuberous breasts? (Photo)

Question

I am 42 with a small 34B chest. I am 5'10" and weigh around 140 lbs. I am wondering if I seem to have tuberous/constricted breasts and if fat transfer may be a good option for me. If an implant is needed, would I need a surgeon who knows how to release constricted breasts prior to implant?

Joel Patrick Maier, MD · Answer

No you do not have tuberous breasts. Your breasts have a normal, natural shape and enhancement (if desried) would be very uncomplicated either by fat or implant. Thank  you.

Ali Riza Öreroglu, MD · Answer

Depending on the size you wish to achieve, a suitable implant can be chosen for you. I usually prefer minimal fat grating to the breast, and do it only if the breast tissues are suitable. So I would recommend a breast implant together with fat transfer, also known as a hybrid breast augmentation. I would prefer to conduct a consultation and evaluate your condition through a physical examination for a more exact answer.
While the position of the nipples may change, the overall position of the breast tissue usually remains relatively unchanged. Therefore, it's important not to expect a significant repositioning of the breast tissue when undergoing breast augmentation procedures.

Daniel Barrett, MD · Answer

Dear tryingtodecide14,
based on your photos, it looks like you don't have tuberous breasts. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Murat Diyarbakirlioglu, MD, FEBOPRAS · Answer

You don't have tuberous breasts, but you have a slight lower pole breast. The best recommendation is breast implants and it would provide a very good result. If you want a better cleavage and more fullness in the upper pole, breast transfer can be added too with the breast implant

Gary M. Horndeski, MD · Answer

No, your breasts are not tuberous. Your breasts are widely separated. I recommend 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. At the same time, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Danielle Atwood, MD, PhD · Answer

Hello,
While you do not have overt tuberous breast deformity, you do have some lower pole constriction which can be seen on the lateral images (side views). I think implants, fat transfer, or a combination of both would work for you. What really matters are your end goals... You will get more volume with an implant which you are not able to get with fat transfer alone. However, I love performing fat transfer and the results are great. You just have to be realistic about your volume goals and go to someone who will listen. Fat transfer can also require multiple sessions as only 60-80% of fat will survive, so also be prepared for that. Also, you must have fat to transfer. If you don't have good stores of fat, then unfortunately you won't be a candidate for fat transfer.A well-trained plastic surgeon will know the diameter of the implant and your nipple to inframammary fold measurements and how that will need to be addressed with implant placement (will likely need to be lowered). Even with an implant which will provide most of the volume, fat grafting can provide superior fullness and medial cleavage an implant cannot. You have a wide space between your breasts, so fat in this area would improve cleavage and decrease the look of widened implants.Overall, you have a wonderful starting canvas to have exceptional results in the right hands. You need to be prepared to express your size goals and understand the process of each route. You have multiple options that would work for your breasts.Good Luck!

Hilton Becker, MD · Answer

You have very little constriction around the areola. This could easily be released at the time of fat transfer

Sean Fisher, MD · Answer

tuberous breasts fall along a spectrum to describe the severity/degree of restriction, adequacy of breast skin, and herniation of breast tissue. You appear to have some mild lower pole restriction and asymmetry. The decision to pursue augmentation with fat grafting alone or with an implant is largely dependent on size goals and tolerance of existing asymmetries. Surgery is the only way to address lower pole restriction with internal release and using an implant to push this area out. If size goals are modest-moderate, this could be done at the same time as implant placement and not in a staged fashion.
Sean M Fisher MD

Ralph M. Rosato, MD · Answer

You do not have a tuberous breast. The left one is slightly constricted. In order to fat graft  you need a donor site. Your photos look like you are very fit.  Often more that one surgery is required to augment the breast. It appears that an implant would be a better option for you. Predictable volume and a single operation.

Connie Hiers, MD, FACS · Answer

No, you do not have tuberous, shaped like tubers, breasts, but do have smaller breasts. You do not need to worry about having constricted breasts since you do not have such. You would do best with implants since you have limited breast tissue in where to place fat.

Do I have tuberous breasts? (Photo)

Answers (12)

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