Do I have tuberous breasts & do they need correcting? (Photo)

In my opinion, you do not have tuberous breasts.

You have some construction and normal left to right asymmetries that simple breast augmentation will improve without tissue scoring.

Some residual nipple puffiness may remain but usually improves.

An exam and consultation with a plastic surgeon is recommended to further discuss your options and expectations.

Thanks for your excellent question and photos. If you do have a tuberous breast change then it is mild with subtle herniation of the nipple areola complex. In my opinion, you would do well with a straightforward breast augmentation with implants which will increase your breast volume and stretch out the lower pole of your breast to improve the overall shape. This could be done through a scar in the fold at the bottom of your breast (IMF) and would avoid additional scars around the nipple.

Your breasts do not appear tuberous and I would not recommend scoring. Scoring cuts the nerve supply to the nipple-areola complex. I recommend a circumareola approach. The puffiness of the areolas can be reduced by the circumareola incision and implants can be placed submuscularly.

Best Wishes,

Gary Horndeski, M.D.

It is very likely, based on these photos, that you have only puffy, protruding areolas not a tuberous breasts. Correction can be done in local anesthesia with placement of permanent sutures underneath the areola skin which will keep subareola tissues from protrusion. This can be combine with breast augmentation with implants if that is in your mind. Good luck.

Thank you for your question and photos. An examination in person by a board certified plastic surgeon would be best to properly evaluate you but based on your photos you do not appear to have a classic tuberous breast deformity. If you feel an augmentation is something you desire, your plastic surgeon can advise you on the optimal implant choices, pocket placement, and technique he or she would be best. I recommend that you make your selection of plastic surgeon based on his or her aesthetic outcomes, reviews and your overall comfort level with the plastic surgeon and the office staff. Best of luck to you.