Age 18 and I don't think my breasts look normal: Are they Tuberous? (photo)

Hi I'm 18 years old and I've always felt that my breast just didn't look normal. My aereolas are usually completely flat and large, and I can never achieve cleavage. I was just wondering if my breasts are tubular or what? I have lost some weight but they were still like this before,

Doctor Answers 13

Age 18 and I don't think my breasts look normal: Are they Tuberous?

Thank you for your question. at 18 you should have breast Implants plus lift Size and shape of breasts can often play a critical role in a woman’s self-esteem. Fuller and bigger breasts are often associated with reproducibility therefore it is a desired condition. There are different kinds of breast augmentation operation types. Breast augmentation can be performed either with breast implants or autologous fat transfer. There are also different types of breast implants like teardrop or round implants. These implants also can be placed under or above the muscle. As you can imagine there are several different options for breast augmentation. The best way to understand which one is more suitable for you is to get a physical examination by a plastic surgeon.

It is important for you to understand that you don’t always need a breast implant for breast augmentation. As it was also mentioned above you can also get bigger and natural breasts with Cihantimur Fat Transfer method. In this method we use own fat tissue of the patient in order to increase the size of the breast. Since this tissue is your own tissue there is no risk for any adverse effects. It is safe and fast operation that yields natural results without any incision.

Turkey Plastic Surgeon
4.9 out of 5 stars 90 reviews

Tuberous breasts

You definitely displays some features of a tuberous breast.  There is a wide gap between your breasts and the overall base of the breast is narrow.  There is some sagging as well as deficiency of breast tissue on the inner portion.  I agree that the areolas are also large for the overall breast.  There are options for correction which could include breast implants as well as some degree of breast lifting and areola reduction.  Regardless of the procedure, it is important to know that the gap between the breasts can only be narrowed slightly as the wide breast bone is something that cannot be changed surgically.  Sincerely, Dr. Mitchell Brown

Mitchell Brown, MD
Toronto Plastic Surgeon
4.7 out of 5 stars 27 reviews

Not tuberous in the classic sense

but at 18 years old, you certainly could benefit from procedures to either lift you and augment you or both... but risks come with the procedure and you must be willing to accept that too.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews


Your breasts are low set and sligthly apart from each other. Your areolas are wide and you have moderately constricted breast tissue. Your areolas could be reduced through periareolar (donut) incisions while the enveloping layer around your breasts could be released for even redistribution of your breast parenchyma. If you desire to have a larger breast  implants could be inserted in the same time.

Fereydoon S. Mahjouri, MD
Minneapolis Plastic Surgeon
4.9 out of 5 stars 16 reviews

Are my Breasts Tuberous?

          Your breasts have some elements of constriction, but they will respond nicely to augmentation and a breast lift.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast lifts each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Tuberous Breasts?

I am sorry to hear about your concerns about breast shape/position; this is very challenging for many patients at your age especially.  

Some of the characteristics seen with tuberous breasts include a very narrow base, short distance from areola to inframammary fold, tight (constricted) lower pole of the breasts, relatively wide space between the breasts, "puffy" and areola and some degree of ptosis (drooping).  

Regardless of the semantics ( your breasts do demonstrate some of the characteristics seen with tuberous breast), you may benefit from breast augmentation/lifting surgery at some point.

 You will need to do your due diligence and learn about the pros/cons of breast surgery as well as the potential risk/complications associated with breast surgery. Make sure you understand about the scarring that results from breast surgery. In other words, achieving realistic expectations prior to proceeding will be important. 

  Make sure, when the time is right, that you seek consultation with board certified plastic surgeons who can demonstrate significant experience helping patients in your situation. Of course, timing of surgery in relation to life circumstances will also be important.

Also, patients who present with tuberous breasts should understand that the potential need for revisionary surgery is increased in their cases compared to patients who do not have these anatomic “variations”.

 You may find the attached link helpful to you as you learn more about breast surgery.

 Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Features of a tuberous breast

The only real feature you have of a tuberous breast is a high and tight inframammary crease and an enlarged areola, otherwise this is just breast ptosis or sagging.  You are a candidate for a breast lift / augmentation

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Tuberous breasts

Thank you for your question and the photo.

Yes, it appears that your breasts are tuberous.  A breast lift or breast lift with implants is likely to give you significant improvement.

To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.

I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 183 reviews

Tuberous breasts

Thank you for your question.  Based on your photo, it does appear you have tuberous breasts.   In addition, to a breast augmentation procedure, you will need a lift and other  internal interventions (such as a radial release of the internal banding contributing to your current breast shape).   Please visit with a plastic surgeon who is a member of the American Society of Plastic Surgeons to learn more about your options.  

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 211 reviews

Tuberous Breasts

You do have tuberous breasts but it can be improved!  A breast lift with a scar just around your areola can make the areola smaller and in the center of your breast.  An implant can provide better fullness on top and a rounder looking breast.  I think these changes would give you an excellent result!  Good luck!

K. Roxanne Grawe, MD
Columbus Plastic Surgeon
4.9 out of 5 stars 139 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.