Do I have tubular breasts? How do I treat them? I'm 22 years old. (photos)

Question

When I’m not cold, my nipples are large and puffy. Cold or not, my breasts sag and stick out to the sides. The tops of my breasts are not filled in, they are flat and solid. Whenever I wear a push up bra or bikini top, I don’t achieve the level of cleavage that I desire. I’m 22 and want a breast lift and augmentation to correct my current breasts. Is this a good idea?

Casey Anderson, MD, FACS · Answer

You do not appear to have tubular breasts. You do appear to have asymmetry both in breast size and areola size. Treatment can be individualized and depends on your specific complaints. I think a breast implant would help with some things. Then possibly reducing the size of the larger areola.

Kenneth Hughes, MD · Answer

Hello, thank you for your question.You may benefit from a breast augmentation. A board certified plastic surgeon will be able to guide you to the correct size implant. Based upon measurements of your chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Try on a profile bra with various silicone sizers your PS recommends under a tailored blouse, tank top, bikini, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. Select the size that boosts your self-esteem, and fits your anatomy. Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision later in life.

Daniel Barrett, MD · Answer

Dear noor799,
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

Gary M. Horndeski, MD · Answer

The technique I recommend is a modified Benelli lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, small implants or fat transfers can be placed.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person evaluation by a plastic surgeon to be measured and discuss your goals. After I measure and discuss goals with my patients, we then look at pictures of former patients with similar measurements with different size and style breast implants. My patients tell me that this process is very helpful in determining what size breast implant is right for them. They also get to see what they would look like when the implants have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee.

Connie Hiers, MD, FACS · Answer

You do not have tubular breasts, but do have small breasts which can be enhanced with implants. I would recommend placing them behind the muscle to help give more upper fullness. Just based on your photos, you do not need a lift.

Do I have tubular breasts? How do I treat them? I'm 22 years old. (photos)

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