Age 35, are my breasts tuberous & how can they be fixed? (Photos)

Thanks for your question. Based on your photographs, you have a challenging case of breast asymmetry and also an element of tuberous breast change, especially on the left side. This could be addressed by altering the skin envelope to reduce the size of the nipple-areola complex, lift the breasts and reshape to create a more pleasing breast mound. The right breast could be reduced to a volume comparable with the left side. Depending on your goals, you could then consider implants or fat transfer to augment volume. Consult a plastic surgeon who specialises in aesthetic breast surgery.

Hi, thank you for sharing your question. It is difficult to correctly say from one photo whether you have breast asymmetry due to underdevelopment or tuberous breast deformity. I would recommend you consult with a plastic surgeon in person. To correct a tuberous breast deformity you will need a few simultaneous techniques, which may also involve the use of an implant. I hope this helps.

Tuberous breasts are characterized by an indistinct breast fold and constriction of tissue around the nipples. You don’t appear to display these traits. If you’d like to make your breasts rounder and perkier, a breast lift would most likely be sufficient. Excess tissue can be removed from your larger breast to make it more symmetrical in size with your smaller one. Alternatively, you can also consider getting an implant in the smaller breast to better match the size of the larger one. Both a breast reduction or breast augmentation can be performed at the same time as your breast lift.

Thanks for your inquiry and excellent picture. You have some features of tuberous breast but mostly breast asymmetry and droop. You can consider a combination of lift and implant procedures to create shape and symmetry--best of luck.

Unfortunately, surgeons have created the term tuberous breasts, a fact which causes unnecessary concerns for women. Many women just have different sizes and shapes and in my opinion shouldn't be labeled. I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, if interested. They also get to see what they would look like when the breasts 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. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Hello,
And thank you for the question.
It is difficult to tell just based on one photo, but you do appear to be have congenital breast deformity with underdevelopment of left breast which is much slower and narrower.
It is typically corrected by performing breast lift together with breast augmentation, in order to put your nipples into the correct position, make the areola smaller and allow excess skin to be taken away, giving you a more youthful, firmer and lifted breast appearance.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast surgeries to further discuss your options, specific techniques, concerns and expectations.
I hope this helps.Good luck!
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Good afternoon,
You do have some tuberous characteristics to your breasts. I would recommend you lift the smaller breast and reduce and lift the larger breast to match.

Your breasts do not appear to be tuberous but appear to be very ptotic. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them, higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintianed.

Best Wishes,

Gary Horndeski, M.D.

It does appear that you have tuberous breasts with a significant asymmetry. These do require a higher degree of expertise to correct. More often than not, a lift and augmentation can produce a wonderful result. During this procedure, a skilled plastic surgeon can also correct any asymmetry by using different sized implants and various surgical techniques to release constricted breast tissue often found in tuberous breasts. I would recommend scheduling a consult with an experienced board certified plastic surgeon that can assess you in person and make recommendations. I sincerely wish you the best of luck in your surgical journey.

Dear Enthusiastic22814,
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