32, 2 kids, 5’6 & 115lbs, tuberous breast or asymmetrical? (Photos)

Hi, thank you for sharing your question. You do not appear to have tuberous breast deformity but rather breast asymmetry with some ptosis. You are still a candidate for breast augmentation but may require a lift on the ptotic breast for symmetry.

Dear LW610,
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

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Thanks for your question! Your droopier breast does appear a bit tuberous, but I think you could still get a beautiful result. I agree that a mastopexy on that side will likely be warranted. However, your breasts could be beautiful sisters. Please seek out a consultation with a board-certified plastic surgeon. Good luck!

So, technically it's a variant of a tubular breast, but it is not constricted. The good new is that although your inframammary fold is higher on the affected breast, there is ample skin and soft tissue to compensate when an augmentation is performed in conjunction with a unilateral breast lift.

Hi there,
Yes on the right you have a tuberous breast, which is obviously larger as well.
The MD will be able to spot it right away, if they don't I would recommend going somewhere else. You will need a lift on that side as well to decrease the size and reshape your areola. You can still get implants at the same time.
You can ask the doc for photos of the tuberous breast corrections that they have done in the past
All the best,

Yes you have breast asymmetry, but the right breast (the one on the left in the photos) is definitely more tuberous in appearance. It is also larger and has more ptosis, as well as a larger areola. So you are absolutely correct that you will require a lift on that side if you want to maximize symmetry. Depending on how large an implant you want, you could do implants alone but will likely require different sized implants and will still have residual asymmetry. I would recommend using a sizer on the left to determine your goal size, using the same sized implants on both sides, and doing a lift to match volume, areolar size, and nipple/areola position.

Your breasts are asymmetrical, not tuberous. You definitely need a lift and is more important than implants. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

You do have breast asymmetry with one breast being ptotic. Whether your breasts have a narrow base or not it really dos not matter in your case. Unilateral breast lift and bilateral breast augmentation would be my suggestion. Good luck

The answer to your question is yes you have asymmetry and yes your one breast does appear to have characteristics of tuberosity. A lift will be needed on at least one side to correct the sagging (ptosis) and improve symmetry. Implants can help you achieve more volume, better shape, and improved symmetry. Be sure that you are seeing a board certified plastic surgeon for your consultation.