Do I have tuberous breasts? (Photos)

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation.  Always insist on a board certified plastic surgeon.

Hello,Thank you for your question and photos. As others have stated, you do demonstrate features of tuberous breasts. A type of breast lift used to set back the puffiness of the areolas may be done, which will also allow for release of constricted tissue in the base of the breasts and balancing the position of areolas. Cohesive, silicone breast implants are probably the way to go, rather than fat grafting, in order to fill out and reshape the breast. I recommend that you meet with a board certified Plastic Surgeon who has plenty of experience in this area. They will examine you, discuss your goals and create a plan.All the best

Thank you for your question and photos. Yes, you do have classic tuberous breasts. These are best corrected with silicone gel implant augmentation. You will not need a lift. Fat grafting is possible, might require more than one session to achieve your desired results. Implants are more predictable in outcome, with fat grafting you can expect about one size increase in volume. See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

Based on your photos, it does appear that you have tuberous breasts.  However, the path forward to deliver the results you want depends a lot on other factors, including the breast size you would like to obtain.  While fat transfer is an increasingly popular option for augmenting various parts of the body, given your height and weight and the limited photos you have provided, it may not be possible to obtain the results you want through fat transfer.  You should keep in mind that fat transfer to the breasts general yields only a small augmentation and often has to be repeated more than once and requires sufficient donor sites.  Breast implants are going to give you the most predictable and reliable increase in volume.  You do not appear to need a lift at this time but you may require some areolar work/reduction depending on your goals for the outcome.  You will need to have a long conversation with your plastic surgeon regarding your goals and reasonable expectations as well as tolerance for future revision surgery.  Best of luck!

Thank you for your pictures and questions. In short, yes, you do have several features of tuberous breast deformity. Depending on your goals and expectations, there are several options available to you to treat this, the most common being placement of a silicone implant and revision of the tuberous features. I would not recommend a lift as I do not think this is necessary. And I am not sure what the goal of fat transfer would be in this case as increasing any significant size would require several sessions of grafting and would not correct the deformity.Hope this helps!

You have many of the classic signs of tubular breasts. I would not perform a lift at this time however would reduce areolar tissue to flatten the nipple areolae

Hi CC!  Yes you have a TB, but pretty mild. I personally wouldn't have all the nipple cuts for your appearance.  Inside radial incisions would be my option. I haven’t examined you, but yes I would say you have a Type III-IV Tuberous Breast contour, and we see this frequently.  So, no need to be disheartened.   Fat grafting will help give you a more normal shape if you do this at the same time as you have implants. See the video link below which outlines how we approach a Tuberous Breast.  There are four Types, as I teach in the video, You seem to have a mild tendency in this direction.  You can see from the side view that your breast comes almost straight out from your chest wall, and therefore from the front view, the lower rounded area is not filled out.  I believe if you want a breast augmentation surgery this would be corrected nicely.  The web reference below has some photos of examples.  There are many approaches.  Here are some general tips which are only my personal opinion, not gospel:  Your fold is very tight in the breast crease.   Be sure to see only a board certified plastic surgeon (by ABPS - The American Board of Plastic Surgery) who is a member of ASAPS (The American Society for Aesthetic Plastic Surgery) and or a member of ASPS (The American Society of Plastic Surgeons). Also, ask if they have an established, high volume breast augmentation practice, performing several hundred breast augmentations each year. Be sure the PS has been in practice for a while, 20-years or more might be a good gauge. Does the PS offer all three incisions? Discuss the implant type (gel or saline), shaped "gummy bear" or non-shaped, smooth or textured, implant pocket (over or under the muscle) and the "quick recovery approach." Ask to see their before and after photos if you didn’t see any on their website. If they are experienced, they should have several 100 breast implant patients for you to view. I would also recommend that your doctor offer you the chance to talk to past patients who would be happy to discuss their experience with you. You need to feel comfortable, so make sure the environment is safe as in an accredited surgery center. Also, ask a prospective surgeon if he or she has ever published journal articles in professional peer-reviewed journals, which they can provide you.
All the best,  “Dr. Joe”

It does appear as though you have a degree of tuberous, or constricted, breasts. This is something that can certainly be corrected as part of a breast augmentation as long as your surgeon recognizes it and releases the constricted areas appropriately. Areola reduction is also recommended if your puffy areola bother you. The exact procedure you'll need depends on what you like and don't like about your breasts and what your goals are. Meet with a few board-certified plastic surgeons in your area until you feel comfortable that one can do the job that you want. Best of Luck!

On the mild side with the biggest issue being the puffy areola.  Yes, as mentioned by others, there are many things you can do but you also should know the risks if the procedures don't go as planned.  Having a double bubble is a strong possibility.  Depending on how your areola is reduced/flattened, it could impact sensation and breast feeding and will leave a scar around your areola.  Some will tell you that you have to go subglandular but this is not true as dual plane submuscular techniques work just as well (since the bottom half is not covered by muscle).  So make sure whomever you see understands your goals and expectations and if promises are made, get them in writing. And a lift is not needed but some surgeons may charge for a lift when they are only doing an areola reduction.  Fat grafting can increase you by a cup size at best and that assumes you have extra fat elsewhere and are tolerant of multiple sessions to get you there.  

Thanks for your question. From looking at your photos it does appear that you have some of the features of tuberous breasts. In general, tuberous breast correction involves  augmentation with implants and a possible lift if required. It does not appear that you would need a lift however, and you would be able to get a nice result with implants alone. With breast augmentation surgery an important aspect in the correction of tuberous breasts is to release constricting subcutaneous tissue to improve the shape of the breast. This is an important step in surgical treatment, and because of this, fat grafting alone would be unlikely to give you the result you were looking for. My suggestion would be to schedule an in-person consultation with a board-certified plastic surgeon to discuss your options. All the best.