Do I Have a Mild Case of Tubular Breasts? (photo)

Question

I'm 18, and I've always been insecure about my breast shape. I started to think positively about my breasts, and then I heard about a deformity called Tuberous Breasts, and I thought mine looked similar. I was wondering if I had a mild case.

Mathew C. Mosher, MD · Answer

You do have some features of a tuberous breast butmany of your proportions and shape are completly natural. Women with a more triangular breast shape and more prominent nipple areolar complexes like yours are very common. The breast shape will often appear less triangular when the areolar and nipple skin contracts. Surgery is not indicated or required.

	Tuberous breasts have a number of features that includes various degrees of tight or constricted lower portions in addition to more dilated and prominent areolae. If you ever consider breast enhancement surgery, a careful discussion with your Plastic Surgeon about options and limitations will be important. My advice would be to continue to think positively about your breasts as you do not have a "deformity" that needs correction.

	Dr. Mosher

Larry S. Nichter, MD, MS, FACS · Answer

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation.  Always insist on a board certified plastic surgeon.

Kenneth Hughes, MD · Answer

There is a continuuum in breast shape from round to constricted to tubular to tuberous.  I would say that you have breast constriction.

Gary M. Horndeski, MD · Answer

Your breasts are asymmetrical and tuberous.  You would benefit from a new procedure called The Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to reshape your breast tissue and move them more medial to increase cleavage and higher to create upper pole fullness.  However, you have asymmetry and the left appears smaller than the right.  If you want to be larger, you will also need implants.  This can all be done at the same opeation without the lollipop or boat anchor shaped scars that have been used in the past.

	Best Wishes,

	Gary Horndeski, M.D.

Jerome Edelstein, MD · Answer

Judging from your photos, you do have tubular breasts, though it is mild. This is apparent particularly in the side profile shot, where you can see that there is constriction around the areola/nipple. This constriction is caused by a fibrous ring of tissue which prevents your breasts from  expanding sideways, to "fill out" your breasts and become wider in diameter. The breast tissue herniates through the areola area as a result which is what creates the tubular appearance.
	 

	 

	At 18 years old, your breasts may still be developing (though not as dramatically as before). You may want to wait a little while longer to see if your breasts will change in shape.

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

Yes it appears you do have tuberous breasts.  It affects the right breast more than the left breast.  I would say that you have a moderate case.  The treatment usually involves the use of implants to provide volume and shape as well as some correction of the breast tissue that is constricted and bulging in the areola.

	Dr. ES

Richard Wellington Swift, MD · Answer

Yes, it appears that you have a mild case of constricted breasts. You can have breast augmentation with moderate plus shaped implants which will improve your breast shape by expanding the tight (constricted) lower pole or bottom half of your breasts. Your breasts will become more tear drop shaped with more of the breast volume at the bottom. The width of the implants will also decrease the space between your breasts, creating more natural cleavage. There is minimal scarring with augmentation alone. I would recommend waiting a year after the augmentation surgery to see if the "puffy'' areolae improve to your liking. If not, a small doughnut or peri-areolar mastopexy with a purse string suture will reduce the areolar diameter, move the areolae more to the midline and reduce their puffy appearance. You have some great options if you want to proceed with surgery. Thank you for posting your photos and question.

Richard J. Brown, MD · Answer

It does appear that you have some of the characteristics of what we would call the tuberous breast. The main qualities of the tuberous breast are women who exhibit a high riding lower breast crease, have lower pole constriction, and who have herniation of breast tissue into the nipple areolar complex. You have some of these characteristics. A physical examination and listening to you goals will provide you the best opportunity to seek the best advice. Most patients can have a wonderful result with implants alone. It does not appear that you would require any repositioning of the nipple areolar complex, but again being evaluated in person will be what you need to get the best advice on how to proceed. Best of luck!!

Darryl J. Blinski, MD · Answer

Yes you have a very minor form of inferior pole construction and deficiency. Best to seek ONLY in person evaluations from boarded PSs in your city.

Pablo Prichard, MD · Answer

Hello, and thank you for your question and photos.

	You do have constriction of the crease underneath your breast which is tight and very high.  The crease is too high with respect to your areola/nipples.  This can be treated very easily with breast augmentation and lowering of the crease. 

	Best Wishes!

	Pablo Prichard, MD

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