Are my breasts tuberous? How can I increase fullness at the top?

There is nothing in your photos that suggest you have tuberous breasts. You should be able to achieve the upper pole fullness you desire with a standard breast augmentation procedure.

You don’t appear to have any constriction of tissue around your nipples, a trait of tuberous breasts, or if there is any it is very mild. For this reason, breast augmentation alone may be sufficient to give you fullness.

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. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Thank you for the question. Based on the photos you do not have tuberous breasts. Breast augmentation with implants can be performed to increase the size and enhance your breast, if of course you desire so. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Hi.
You dont have tuberous breasts. You can improve the aesthetic appearance of the breast by a modest augmentation. This can be achieved with either implants or fat grafting. An areolar reduction can also be performed if you dont like their size.
Regards Damien

Your breasts are not tuberous. The 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.

Dear lilacsunflower,
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

Good morning,
You don't have all of the characteristics of tuberous breasts, but you do have large areolas in relation to your breast size, and your have some herniation of breast tissue into your areolas (puffy nipples). The correct treatment would be an areola reduction, and of course if you want to have an augmentation do that at the same time- under the muscle, saline or silicone, 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.

Have a nice day! Here’s Dr. Jose Suarez hoping to answer all your doubts. To adequately improve the tuberous breast, breast implants are always suggested

Based on your photos you do not have tuberous breasts. Your concerns of areola size and lack of upper pole fullness can be corrected. A conservative breast augmentation with implants can supply the fullness that you want. During your surgery your areola can be downsized to be more proportionate to the breast. See a board certified plastic surgeon near you to learn more.