Tuberous breasts - best surgery for me? (Photo)

Question

Hello I have really tight, pointed breasts - they actually hurt to rub if I'm applying moisturizer. I've never worn an unpadded bra/bikini top because my breasts are triangular and pointy. I'm looking to have them fixed but I have no idea how, what is your opinion. I'll add some photos too.

Elizabeth Kiwanuka, MD, PhD · Answer

Dealing with tuberous breast deformity can be challenging, both physically and emotionally. This condition, characterized by tight, constricted breast tissue that causes a pointed or triangular shape, can also make the breasts feel unusually firm or sensitive. Surgical correction is typically the most effective way to address this issue, reshaping the breasts to a more rounded, natural appearance.
Here are several surgical options commonly considered for correcting tuberous breasts:
Breast Augmentation: This involves the use of implants to provide volume and help round out the shape of the breasts. It's often combined with other techniques to correct the tuberous shape.
Breast Lift (Mastopexy): This procedure can adjust the position of the nipple and areola, and reshape the existing breast tissue to alleviate the pointed appearance.
Tissue Expansion: This technique uses a tissue expander to stretch the skin and breast tissue gradually, making it less constricted.
Fat Grafting: Fat from other parts of your body is injected into the breasts to add volume and improve shape, particularly in areas that are deficient.
Combination Procedures: Often, a combination of these methods is used to achieve the best result, addressing both the shape and volume of the breasts simultaneously.
Consulting with a plastic surgeon who specializes in breast surgeries is the best step forward. They can assess your specific condition, discuss potential outcomes, and tailor a treatment plan that aligns with your goals.

Gary M. Horndeski, MD · Answer

Your breasts are asymmetrical in volume, shape, and position.  You may benefit from a lift using a circumareola approach to reposition the nipple-areola complex to correct the height and possible fat transfers if volume is desired.

Best Wishes,

Gary Horndeski, M.D.

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