Do I have tuberous breasts? (photos)

Question

i thought they were just conical when I was younger and as I got older the areolas grew and no underboob appeared. Also on my right breast especially the areola makes up the entire end of the breast. I also read that it was a congenital disorder and I noticed my grandmother on my fathers side had the same looking breasts

Richard G. Schwartz, MD · Answer

Tuberous breasts are so-named due to a more narrow (conical) shape than a more normally rounded breast shape.  This condition is thought due to a tight constricting layer of tissue around the breast gland that forces it to grow outward within a narrow area located centrally behind the areola.   Although there are many variations, usually the breast tissue projects forward centrally and stretches and bulges out the areola.  There is often a lack of breast skin and fullness near the outer limits of the breast.  Your photos seem to indicate that you have tuberous breasts with sagging.   I have achieved nice results correcting this developmental deformity using standard techniques of reducing the areolar size down to normal, rearranging the position of the breast tissue by loosening the tight fascia around the breast, and tucking/tailoring breast skin to lift and correct sagging.  Sometimes a breast implant is placed if the patient desires a larger breast size.  Often, all of this work can be done just through a circular incision around the areola, so that the scar is camouflaged by the darker areolar skin.  In my experience, young women suffer self-image and emotional issues due to this deformity, and the surgery allows them to feel much better about themselves and more comfortable in social situations.

Gary M. Horndeski, MD · Answer

Your breasts do appear to be tuberous, however,
that is irrelevant.Your breasts are
extremely ptotic so you need a lift.I
recommend a new technique called The Horndeski Method&trade;.The breast tissue is reshaped creating upper
pole fullness, elevated higher on the chest wall and more medial to increase
your cleavage.The areolas can be
reduced to the size you desire.This
technique avoids the ugly vertical scars of the traditional technique,
maintains nipple sensation and the ability to breast feed.Best Wishes,Gary Horndeski, M.D.

Jose M. Soler-Baillo, MD, MS · Answer

Hi, yes you do have  "constricted" breasts and it is somewhat common. . . it simply means your breasts are longer rather than rounder shaped.  Breast Augmentation with either Saline Filled or Silicone Implants will greatly help your breasts take on a rounder shape.  It may take a little more time than a patient starting out with rounder breasts but you should have a very pretty result.  Please be sure to see a plastic surgeon that specializes in constricted breast for augmentation.  Be sure to view a lot of before and after pictures of his or her patients that looked similar to you before so you have a realistic idea of the result and to chose the best surgeon for you.  Wishing you all the best!

William Andrade, MD · Answer

Thanks for your question. There do appear to be tuberous breast features such as the conical shape, large protruding (pseudoherniated) areolae, deficient lower breast tissue, and high creases under the breasts.  A plastic surgeon could provide more information after a proper consultation.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Think you for your picture. You do have a tuberous breast deformity. This can be improved with breast augmentation and a breast lift.

Thomas Trevisani, MD · Answer

Yes, based on the photos- it appears you have some degree of tuberosity. Surgery can correct this. Seek an experienced Board Certified PS for in person examination to determine the treatment plan. Good luck!

John Michael Thomassen, MD · Answer

Yes you appear to have turberous or constricted breasts.  Options for surgical correction include a circumareoalar lift to reduce the areolar diameter, implant placement or even expander placement to reposition the inframammary fold lower on your chest wall and parenchymal scoring to better distribute the breast tissue.

Brian Joseph, MD · Answer

Thank you for your question and your pictures.  Yes, from your pictures you do have tuberous breasts.  It is characterized by high tight inframammary crease, breast tissue herniation through the areola and narrowed breast shape.  This can be corrected with a breast augmentation with lift/ areolar reduction.  Make sure you seek out a plastic surgeon who has experience with this type of procedure.  Best wishes!

David Bogue, MD · Answer

Yes, you have a form of what is known as a tubular breast deformity. Tubular breasts are characterized by elevated inframammary folds, herniation of breast tissue through the areolas, and limited lower pole skin. It is a more severe type of a constricted breast deformity which encompass everything from mild tightness to tubular breasts. There are corrective techniques which involves implants, fold lowering, and glandular releases to create a more aesthetic and tear-drop appearing breast.

Alejandro Nogueira, MD · Answer

Yes you do have them, of highest degree. You need to find a surgeon really expert in them; you may need more than one surgery to correct them, but don't hesitate to go ahead, my tuberous breast patients are those happiest and with greatest quality of life improval after breast surgery.

Do I have tuberous breasts? (photos)

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