Do I have a mild case of tuberous breasts? (Photo)

Question

I am 19 years old and i think i have tuberous breasts. I have had this ever since i can remember. I firstly thought that my nipples were inverted but realised that i could have tuberous breasts? I was hoping in the near future to get this corrected as this is effecting me immensely and as pitiful as it may sound, i literally have zero confidence and can't even pluck up the courage to go to the doctors about it. Pllleaaseee hellpppppp.

Jeffrey G. Lind II, MD · Answer

Thanks for your question.  Based on your pictures alone, it doesn't appear that you have tuberous breasts.  You may have a little bit of breast tissue herniating into your nipple/areola complex but it isn't bad.  For a patient like you in my practice I would recommend breast implants and maybe a periareolar skin incision to flatten the areola a bit.  Try go not let this bother you so much as you do have a nice starting point for breast augmentation!  Best of luck to you!

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  It appears that your nipples are slightly herniated which are giving the puffy and pointy appearance.  I do not think that your breasts are tuberous either.  You would be an excellent candidate for a breast augmentation to help restore your self-confidence.All the best,Dr. ResultsMiami, FL

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.

Michael A. Epstein, MD, FACS · Answer

Thank you for your question.In the age of the internet, it is easy to compare yourself to others, and get a skewed sense of what is really out there.  You have beautiful, natural appearing breasts.  You may have very slight herniation at the nipple/areola creating "puffy nipples" but I wouldn't classify your breasts as tuberous.  If you are concerned about the size, then a breast augmentation may help with your confidence.  Your doctor may recommend an incision around your areola to flatten it a little bit, and this can be done at the same time as the breast augmentation or afterward (if it's needed, which it may not be).  Be sure to visit with a board certified plastic surgeon to discuss your options.  It may take a bit of courage to go, but the surgeon should make you feel very much at ease, and you will likely walk away from the consultation wishing you had made the trip earlier.  Best of luck!

Tom J. Pousti, MD · Answer

Thank you for your question and photos.  It does look like you have some tuberous breast characteristics.Generally speaking, for “minor” tuberous breasts correction options vary. Sometimes it is possible to  use breast implants only without an incision around the areola;  patients  potentially will contain to have a “puffy” areola appearance. In other cases of “minor” tuberous breast  anomaly,  breast augmentation and circumareola reduction may be selected as the operation of choice. Which operation the patient chooses will depend on the aesthetic result they are looking for. 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).  
Generally,  correction of tuberous breast anomalies involves breast augmentation with areola reduction procedure. The distance from the inframammary fold is increased (to create a more rounded out appearance). Proper implant positioning improves the distance (cleavage) between the breasts. The areola reduction helps to treat the pointed and "puffy" appearance of the areola.The patient should be aware that the final result will take months to see and that they will need to be patient and that revisionary surgery is more likely than in patients who do not present with tuberous (constricted) breasts. When you are ready, please make sure you consult with well experienced board-certified plastic surgeons who have significant  demonstrable experience with this type of surgery.
I hope this, and the attached link (dedicated to patients with constricted/tuberous breast concerns) helps.

Michael M. Omidi, MD, FACS · Answer

Thank you for the question and photos. You're breasts do not appear to be tuberous but I think the size and gap could be your issue. Your breasts are natural looking and beautiful. If you're considering enhancing them, breast augmentation should be able to do just that. Best of luck, Dr. Michael Omidi.

An in-person exam with a board-certified plastic
surgeon is the best way to assess your needs and provide true medical advice.

An in-person exam with a board-certified plastic
surgeon is the best way to assess your needs and provide true medical advice.

Michael D. Cohen, MD · Answer

First don't be so hard on yourself. Your shape is pleasing and there is a mild herniation at the nipple/areola which has created this look. The lower aspect of the  breast appears round but slightly tight. There may be a good solution. I think breast augmentation (Dual Plane approach) with a reasonable(not too large) sized implant would provide additional enhancement and size and a small periaeolar skin excision might tighten the areola and make the herniation less noticeable. Seeing a board certified and highly experienced plastic surgeon will provide you with the answers you  might be  seeking. Best of good luck.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the photos and question and you have small pretty breasts that can be enhanced with an augmentation if desired. So get up the courage and see some experts in your area.Dr. Corbin

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