Would you say I have tubular breasts? What would be the best course of action?

Question

Hello all! For as long as I could remember, I’ve hated the way my breasts looked and never felt like they were “normal.” I’m 20 now and I’m highly considering either a fat grafting procedure or breast implants. Something else I should note is that when my nipples are fully hard, my boobs look completely different. It’s like night and day. They’re round, my areoles shrink, etc. would you say I have tubular breasts?? What do you think would be the best course of action? Thank you all so so much

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

Alan Gonzalez, MD, FACS · Answer

Hello @Anon20xo Thank you very much for your question and showing your pictures, in my opinion they are tubular. I do suggest a breast lift accompanied by implants or fat transfer, in this case my recommendation is the two procedures, so the result will be natural, it will meet your expectations. Before the surgery, the plastic surgeon must assess the individual characteristics of the patient's breasts, as well as her general condition for a correct indication of the intervention. Breast augmentation with implants or fat transfer is performed in the operating room and under general anesthesia. Best wishes!

Finny George, MD · Answer

Hi, thank you for sharing your question. Based on the photos, you don’t appear to have tuberous breast deformity. You seem to have widened areolas but no herniating breast tissue. An in person evaluation would be best. You are a good candidate for breast augmentation if you choose that option. I hope this helps.

Leila Kasrai, MD, FRCSC · Answer

You don’t appear to have tubular breasts as you have a distinct breast fold and no constriction of tissue around the nipples. However, your areolae appear to be puffy. An areola reduction can reduce the size of your areolae and make them less puffy, so they’re more proportionately sized. This may also improve the overall shape of your breasts. Implants would only be necessary if you’d like to have larger and much rounder breasts.

Luis A. Mejia, MD · Answer

Dear Anon20xo, thanks for sharing your concerns and picture, it would be good to see more pictures. However, I am not agree about tuberosity. In order to achieve amazing resukts you would need breast augmentation with dual implants, this would give you an amazing result. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks! Dr. Luis Mejia.

Gary M. Horndeski, MD · Answer

If you are happy with size of your breasts then you do not need implants. 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Anon20xo,
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

Connie Hiers, MD, FACS · Answer

Your breasts themselves are not tubular, but you do have breast tissue that herniates or extends into your areolae.  This is fixable when you do your augmentation with implants, but fat transfers may not be as effective.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!Tubular (tuberous) breasts demonstrate large puffy areolae, wide spacing between the breasts, minimal breast tissue, sagging, higher than normal fold beneath the breasts, and a narrow breast base.From your photos, your breasts are tubular in shape, your areolae are large and "puffy", and the breast base is narrow. You would represent an excellent candidate for breast augmentation with a lollipop lift and areolar reduction. I recommend consultation with a board certified plastic surgeon.Best wishes...

Would you say I have tubular breasts? What would be the best course of action?

Answers (9)

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