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

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.

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.

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.