Do I have tuberous breasts? (Photo)

Tuberous breast deformity is a wide spectrum of breast aesthetic appearances related to tight constricting fascia of the breast. When this fascia is too tight (in varying amounts), it can result in a wide range of nipple herniation/asymmetries/bulges and high riding/constricted breast folds with small lower poles. The method of correction is the same in most of these patients. This includes placing a highly cohesive silicone gel implant below the muscle with a proper dual plane augmentation and releasing any constricting fascial bands to permit the implant to exert its effects on the breast. These can be highly challenging surgeries. You need to find a highly experienced American Board of Plastic Surgery Certified Surgeon with extensive aesthetic breast surgery experience.

Tuberous breast deformity, also known as tubular breasts, is a condition where the breasts develop with an unusual shape during puberty. This condition is characterized by several features: a constricted breast base, causing the breast to appear narrow and elongated; herniation of breast tissue into the areola, which can cause the areola to appear puffy or enlarged; and a higher than usual inframammary fold, making the lower part of the breast lack fullness. The severity of these characteristics can vary, and in mild cases, the deformity might not be very pronounced.
If you suspect you have tuberous breasts and are seeking treatment, it's wise to consult with a plastic surgeon who specializes in breast surgery. Treatment options typically include:
Breast Augmentation: To provide fullness and improve the shape of the breast.
Mastopexy (Breast Lift): To raise and reshape the breasts, which can include resizing the areola to a more typical proportion.
Tissue Expansion: This involves using an implant or expander to stretch the skin and breast tissue, helping to correct the constricted base.
Fat Grafting: Fat from other areas of the body is injected into the breast to improve shape and fullness, particularly in the lower pole of the breast.
Combination Therapies: Often, a combination of these treatments is used to achieve the best cosmetic result, tailored to the severity of the deformity and the patient’s desires.

Your breasts are not tuberous but small. You would benefit from a circumareola approach to lift the nipple-areola complex higher and place implants if you want additional volume.

Best Wishes,

Gary Horndeski, M.D.