Are my breasts tuberous? If so, how can I correct them? (photos)

Question

I have recently learned about tubular breasts, but I am unsure if that is the correct assessment for me.

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a great candidate for breast augmentation. You do not have tuberous breast deformity. Your board certified plastic surgeon can help select the proper implants to meet your goals after a formal evaluation of your breasts are done and measurements of the soft tissue are taken. I hope this helps.

Casey Anderson, MD, FACS · Answer

Your breasts do not appear tuberous. As far as correction is concerned, that very much depends on what your desired breast is. The best bet is to talk with a plastic surgeon to get a feel for your goals and what procedures can help you get there.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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.  Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

Your breasts are not tuberous but small and widely separated. If you are happy with the volume of the breasts then you will only need a lift procedure. The lift technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular, if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Donald R. Revis Jr, MD · Answer

Good morning!
You do not have tuberous breasts- just very widely spaced nipples and not much breast tissue. You are an excellent candidate for a donut mastopexy to move your nipples more centrally. For your augmentation you may choose saline or silicone gel, depending on your preference, and we would determine the exact size and profile when I measure your chest, we review photos together, and you have an opportunity to try on the implant sizers here in the office.

Daniel Barrett, MD · Answer

Dear fabab65,
tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

You do not have tuberous breast deformity. However, you seem to have chest/sternal bone deformity known as pectus infundibuliform (caved in chest wall). Properly selected implants may correct this deformity and improve breast appearance; additional surgeries may be needed to address residual chest deformity if visible. Fat grafting is usually good way to improve it and can be planed at the very beginning of reconstruction. In person consultation with a board certified plastic surgeon is recommended. Good luck.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Based on your pictures it does not appear that you have tuberous breasts and depending on your goals, you could have a nice improvement with a well-planned breast augmentation.  Hope this helps.

Camille Cash, MD · Answer

Thank you for your photos and questions.  It does not appear that you have tuberous breasts.  Your breasts are widely spaced with nipples that are more lateral.  You would be a good candidate for breast augmentation if you are wanting more volume.  See a board certified plastic surgeon near you to learn more.

Douglas Taranow, DO, FACOS · Answer

You have several issues with your breasts, however, tuberous qualities you have very little.  Your breasts are very wide with your nipple/areolas also very laterally located.  You have no real lower pole constriction nor puffy nipples both associated with tuberous breasts.
Depending on what size breasts you desire, will affect the amount of cleavage you may have.  Using a flatter implant  with a wider base width, vs a higher profile implant which is narrower but gives you more projection will allow your surgeon to fill the empty central portion of your chest/cleavage.  The potential need for a mastopexy to move the nipple areola more towards the midline might be an option as well-a physical exam would answer this question and many more.
Go for several consultations with board certified plastic surgeons and then make your decision.
Best wishes.
Dr. Taranow

Are my breasts tuberous? If so, how can I correct them? (photos)

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