Is my breast shape and size normal for my age (22 years old)? (Photo)

You have normal breasts.  You do not have tuberous breasts.There is not much to be gained by labeling someone with tuberous breasts.  An operative plan should be developed based on your anatomy.  Whether that is breast implantation, lift or reduction, symmetrization or some combination of procedures, there is no particular point in stigmatizing your breast shape.  A properly trained, skilled and ethical plastic surgeon can develop a plan based on your anatomy and give you the outcome that you desire.  I see absolutely no point in diagnosing someone with tuberous breasts or restricted base deformity.  Stigmatizing a young person can have an effect on the way they perceive the outcome, even if it is outstanding.

Hi, thank you for sharing your question. 
You appear to have a mild constriction in your breasts giving them a slightly conical appearance. Many women have this shape, but I don't think that you have a tuberous breast deformity. You do not require surgical correction, however, if you are unhappy with the size, implants may help with the size and give you a better shape. 
Consult with a board certified plastic surgeon to review all your options. I hope this helps. Best of luck!

Your breasts are normal for you. There are many differences in size, shape, etc. Tour breasts are slightly narrow and tall but not true tubular.For size, implants can be placed with some internal tissue release, but they may retain some of their characteristics.An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.

Hello and thank you for sharing your concerns about your breasts and providing photographs.  
The short answer to both your questions is no.  If interested in improving your breast size, you would benefit from an implant.

The long answer involves discussing the typical components of tubular/tuberous breasts and how to address them...  These include a widened areola, constricted/shortened lower pole (i.e. area between your nipple and inframammary fold), herniation of breast tissue through the nipple areola complex, and a narrow breast base.  You don't have any of these elements of a tubular/tuberous breast.
The next step for you is to find the right board certified plastic surgeon who specializes in aesthetic plastic surgery.  In your consultation, be sure your surgeon addresses all your concerns and discusses the breast augmentation surgery details including the position and size of the incision used, the type of breast implants available, the risks and benefits of the procedure, recovery time, and post-operative course.  Also, be sure to see plenty of before-and-after pictures in women who have a similar breast appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.

And lastly, I think the most important component of the consultation is to establish a good connection with your plastic surgeon.  It’s the connection that allows you to clearly define your desired breast outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.

For more information on Breast Augmentation, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS 

Hello and thank you for your question and sharing your photos. There is nothing wrong with your breasts. If you wish to aesthetically improve your breasts, you are a good candidate for breast augmentation. Topics to discuss with your surgeon are type of implant (gel vs. saline, smooth vs.textured), location of incision (peri-areolar, inframammary crease, arm-pit) and location of the implant (above or under the muscle). There are advantages and disadvantages to each technique. 
In term of implant type, saline or gel implants, each have their own advantages and disadvantages. Gel implants have a more natural feel and tend to have less rippling (implant visibility) compared with saline implants. Patients with gel implants are recommended to have periodic surveillance MRIs (every 3 years) to check for rupture/leak. Having said all that, both gel and saline implants can give nice natural results. Ask your surgeon to discuss these options with you. 

As far as texturing and shape are concerned, textured implants have been linked with a rare form of local lymphoma (also known as ALCL). Shaped implants can rotate in the pocket and cause  problems. I would only use smooth round implants, which give very nice and natural results. 

In terms of the incision, inframammary incision is a common approach that gives great access for creation of a natural pocket, heals very well and can be hidden under bikini. Periareolar approach can be utilized in patients with medium to large areola diameter. Trans-axillary approach is more challenging and associated with higher incidence of implant malposition, particularly in inexperienced hands. Additionally, if a revision is required, additional inframammary incision will likely need to be made to access the implant pocket.

Placing the implant under the muscle is associated with a smoother and more natural upper pole slope., and less risk of capsular contracture. Placing the implant above the muscle, in particular in thin-skin individuals can have the downside of visible rippling.
Regarding the implant size, many factors including patient's desired breast size, skin envelope (both quality and quantity) and breast width diameter among others are important in selecting the implant size. Choosing the right implant should be a shared decision between you and your plastic surgeon. In a typical consultation, you try a variety of in-bra sizers and in combination with several other measurements that your surgeon will do, the final implant volume is selected. would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Best,
Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon

There is a wide range of “normal breasts”.  Most women have some degree of breast asymmetry.  Patient desires on breast volume vary in a wide range of cup sizes.
Ones goals are discussed during consultation.

Hello, 
Thank you for sharing your questions and photos.  Breasts vary vastly in size and shape, and yours is not uncommon.  It appears you have some constriction to your breasts based on the
photos.
Releasing the bands of tissue constricting the lower breast pole
and placing an implant to allow for expansion inferiorly
can help to correct the shape and add volume.
Speak with a board-certified plastic surgeon to learn more
and discuss your options.
All the best.

Your breasts are relatively low on the chest wall, very wide cleavage and the nipples are pointing outward.  The technique I recommend is a lift using The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  Best Wishes,Gary Horndeski, M.D.

Hello and thank you for your question.  The best advice you can receive is from an in-person consultation.  Based on your photographs, you do not appear to have tuberous breasts.  If you desire to change your breast size/shape, then you may want to consider breast augmentation.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  

Best wishes and good luck.


Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon
 

From your photos alone your breasts appear entirely normal and pretty. I would not recommend any surgery until and unless one day you notice significant changes, perhaps from pregnancy or nursing. As the wonderful song from Bobby McFerrin recommends, don't worry, be happy. Best of luck to you.