Are my breasts tuberous or not? What are my options for a larger, natural looking size? (Photos)

Question

Hello, I would like to know whether my breasts are tuberous or not. If so, what severity are they? Or are they just small? I think the areola’s seem large in comparison to the size of the breast. I have noticed that the areola sits at the bottom of the breast and that there is little to no “underboob” breast tissue. I have also not the lack of upper pole fullness and no cleavage unless I was to really really push them together. They seem quite wide set and there is some asymmetry as well. They seem to be sideways shaped as well- they appear to “swoop” down from a side crease near my armpit. When I lean sideways the breast tissue seems to go round my side and almost become a backroll. When my nipples are hard, they look more conventional, but when my nipples are soft, the areola looks big and very soft/puffy. Do I have insufficent glandular tissue? What are my options if I embark upon surgery and if I wanted a much larger size, but natural looking? I am a 21F, 5ft 3”, approx. 66kg. Thank you.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Do I have tubular breasts? If so, how can I fix them?  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. 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. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

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