Tuberous breasts - what are my alternative treatment options if surgery is not option right now? (photos)

Question

I am worried that I might have tuberous breasts and I cant afford surgery right now what should I do?

Semih Yildiz, MD, FEBOPRAS · Answer

Your photos show some features that can be seen with a constricted or tuberous breast shape, including a relatively narrow lower pole and puffy/protruding areola, but an exam is needed to confirm the anatomy. Unfortunately, exercises, creams, massage, fillers, or devices will not reliably correct a true tuberous breast because the issue is the breast base, lower-pole tightness, and sometimes the areola.

If surgery is not possible now, the safest options are camouflage and planning: well-fitted bras, padding/inserts, avoiding unproven treatments, and saving for a consultation when ready. Definitive correction is usually surgical and may involve releasing the constricted tissue, shaping the lower pole, an implant or fat grafting, and sometimes areolar reduction/lift. It is not usually medically urgent, so it is reasonable to wait until you can see a board-certified plastic surgeon and choose a plan you can afford safely.

Gary M. Horndeski, MD · Answer

Your breasts are not tuberous and you do not need surgery.  In the future, if you desire something, you can undergo augmentation or fat transfers if you want to go bigger.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear rid29,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Your breasts are not tuberous, but are somewhat small. Start saving money if you want to go larger. You could go for a consultation so you can find out the cost. There are some companies that will finance cosmetic procedures as well.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, I note that the breasts are relatively symmetric, the nipples reside at the same "altitude on the chest wall and reside well above the fold at the bottom of the breasts, the distance from the top of the breast bone to the nipples is slightly increased, there is a degree of loss of superior breast pole volume although the photos don't visualize this well. There is no significant sag.

Tubular (tuberous) breasts demonstrate large puffy areolae, wide spacing between the breasts, minimal breast tissue, sagging, higher than normal fold beneath the breasts, and a narrow breast base.
You don't fit this picture.

You would represent an excellent candidate for breast augmentation perhaps with a minor lift. There is no non-surgical option available to treat this asymptomatic condition.
Best wishes...

Tuberous breasts - what are my alternative treatment options if surgery is not option right now? (photos)

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