Why Do my Breasts Look Like This? (photo)

Your breasts look like this because you have tubular breasts.  If your cup size is adequate then you do not need implants.  If your cup size is inadequate then you need implants.  You are an excellent candidate for a new procedure called The Mini Ultimate Breast Lift.  This will reduce the size of the areolas, elevate the breast tissue higher on the chest wall and give the natural appearance that you desire, leaving only a scar at the areola-skin junction.  At the same time, implants can be placed if desired.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question. You exhibit some of the signs of tuberous breasts, which are: constricted breast base, high-riding inframammary fold, and herniation of the breast grandular tissue into the areolar ring. If you were to desire a somewhat larger, fuller breast with tuberous breasts, you would need to undergo a modified breast augmentation procedure. In addition to placing a breast implant, a plastic surgeon would need to perform radial scoring of the breast grandular tissue from the inside and to lower the inframammary fold.Regarding nipple piercing, it won't be uncomfortable, but it is possible that it will make the nipple protrude more than you want even when the nipple is relaxed.

Breasts come in all shapes and sizes and significant variations in breast contour are common amongst women. One of the more commonly seen breast variants is the tubular breast deformity. This is also frequently referred to as a constricted breast deformity. Your pictures suggest the presence of a moderate tubular breast deformity.The condition occurs because of constriction of the skin at the base of the breast. This often results in herniation of the breast tissue through the areola which creates a unique breast shape. The vast majority of constricted breast deformities are relatively mild and treatment may not be necessary. Severe cases of this condition occasionally occur and do require treatment because of the magnitude of the breast deformity.A variety of approaches can be used to correct this problem. In some cases, breast lift and breast augmentation may be necessary. Treatments should be individualized based on the specifics of the anatomic deformity and the aesthetic goals of the patient.Based on your history and pictures, I believe you would benefit from combination breast augmentation/breast lift surgery. If you're considering correction of this problem, consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to address both your unique anatomic findings and aesthetic concerns.