Why do my breasts look this way and what are the best options to fix them? (Photos)

Thank you for your question. It seems like you might have features consistent with constricted breasts, a developmental variation where the breast tissue is limited and glandular development is reduced. Augmentation with an implant can enhance size and projection. However, losing weight first is a good approach and can alter breast fat content and chest shape, helping your surgeon better assess your final form and plan the implant size.

Thank you for sharing your photos and background. Based on your photos, your breasts appear to have very little central volume and more fullness toward the sides, which is something we commonly see in patients with limited natural breast development.

The most effective option to enhance shape and volume would likely be breast augmentation with implants. This can help create a fuller, more balanced appearance and better define the breast contours.

A consultation will give you a clearer idea of what’s possible and what approach would give you the best results.

You have hypoplastic breasts/constricted breasts. This is a variant of breast development where the breasts do not develop fully. To correct this, you would require a breast augmentation. A consultation with a plastic surgeon to perform measurements of your breast dimensions, ie, breast width, etc, and give you a chance to try on different implants in clothing so you can gauge how different size implants look on you, would be your first step. In addition to sizing information, your consult should include a detailed discussion of preparation for the procedure, its benefits and risks, and post operative expectations. Your consultation is the important first step.

Hello,From what you’ve described, it sounds like you may have a mild tuberous breast deformity (Grade 1–2). This condition often leads to limited breast development, a higher inframammary fold, and a lack of volume, which could explain the issues you’ve mentioned, including difficulties with breastfeeding and the appearance of more axillary tissue than actual breast volume.In such cases, I typically recommend breast augmentation using round, high-profile silicone implants to create more fullness and projection. If necessary, a periareolar lift (donut mastopexy) can also be added to improve shape and nipple position.Additionally, your inframammary fold appears to be positioned higher than ideal, which is common in these cases. Repositioning it approximately 2 cm lower, and performing a small fat transfer to that area, can significantly enhance the natural lower pole of the breast and overall aesthetic outcome.
Best regards,Dr. Süleyman Köken

Dear Helpful355246,

it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from breast implants. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. 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

Thank you for sharing your background—your goals and concerns are very valid, and it’s great that you’re thinking ahead while planning your weight loss.
From what you’ve described, you sound like a suitable candidate for breast augmentation, particularly if you've consistently had limited breast volume and are now seeking more proportion and shape.
Key factors working in your favor include:
- Stable health and realistic goals: Planning to reach a steady weight before surgery sets the foundation for long-lasting results.
- Consistently small breast size: Combined with low milk production, this may indicate underdevelopment, which implants can effectively address.
- Presence of axillary (ancillary) tissue: This can be evaluated during your consultation and may be improved during the same procedure if needed.
Once you’re closer to your target weight, a consultation with a board-certified plastic surgeon will help define the right implant size, type, and whether additional procedures such as a lift may enhance your results.
I hope this helps clarify your path forward. Wishing you continued success on your journey.
— Güray Yeşiladalı, MD

Since you have minimal breast tissue, augmentation with implants is your best solution. When you loose 30-40 lbs. or more, your result is going to look better and better. Good luck.

Hi Helpful! Kudos to you for reaching out on this platform to get an idea of what your sugical options are. First of all, I do recommend trying to get as close to your goal weight prior to surgery as you mentioned. This ideal for your overall results. As far as your surgical options, it appears that you have a tubular breast deformity. A breast augmentation would help restore the deficient volume of your breasts. You may also benefit from a breast mastopexy (lift) to rearrange the breast tissue that you do have. I would also recommend liposuction for contouring of the tissue excess in the armpit region. Tubular breasts are a challenge surgically, so I highly recommend consulting with a board certified plastic surgeon that specializes in surgery of the breast. Best of luck acheiving your aesthetic goals!

It seems from your photographs you might get a very nice result with liposuction of the armpit and a breast augmentation using an implant. He should find a plastic surgeon who is experience in implant surgery. You would probably need release of certain tissues more than in other cases, but the end result could be very pleasing. Good luck.

Hello! Thank you for the question.
It appears the best way to treat your breasts would be with augmentation with implants to fill out your shape, possibly paired with some lipo contouring of the underarm area to improve on your breast proportions.
I would recommend you see a board certified plastic surgeon near you.
Best of luck to you!