Tuberous Augmentation. PS Said No Lift/nipple Reduction? (photo)

I have small 34b slightly tuberous breasts. My PS thinks the best idea would be to release the constricted tissue with internal incisions and use under the muscle silicone implants. I am very worried my nipples will be huge! Does it look like I need a lift or nipple reduction as well? I am 24 years old, never had any children and have my surgery scheduled for 2/25. Starting to second guess and freak out!!

Doctor Answers 19

Tuberous breasts

To me, it looks like you need a lift.  I don't have measurements, or benefit of exam however.  Your doctor is the best source of opinion.

This is a judgement call for sure.  Worst case scenario, he is wrong.  In this case, you can go back and do the lift later.



Dallas Plastic Surgeon
4.8 out of 5 stars 106 reviews

Tuberous / tubular breast

Your deformity is very mild and without physical exam it is hard to see how much release you need. The areolar expansion will be related to implant size. If you are willing to have more extensive scars, a lift is possible but can always be done later after the implants have settled.  That may save you significant scars. 

Deborah Pan, MD
New Haven Plastic Surgeon
4.8 out of 5 stars 30 reviews


Thanks for the photos.  Your NAC is positioned low on the breast mound, the areolar are large and there is some constriction of the breast tissue in the lower pole.  I would recommend a circumareolar lift with areolar reduction, release of the constricted breast tissue and breast augmentation. You will do great.  Good luck.


Todd B. Koch, MD
Buffalo Plastic Surgeon
4.6 out of 5 stars 36 reviews

Breast Augmentation and Lift

  I think that most plastic surgeons would recommend a breast augmentation and lift in your situation.  However, you appear to be sitting down in the pictures.  I would recommend taking pictures standing up, arms at sides, and shoulders relaxed to allow for the best advice to be given.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Tubular Breast

Sorry, some surgeons use tuberous but it really is tubular as in the breasts look more like tubes.  Anyway, you have a very distant form of this. It appears that you have a little bit of constricture of the inner corners of the breasts only.  The solution.  You'll need areolar reduction because if you don't the areolas will widen even more with the implants.  Next, you'll need release of the constrictures, subpectoral implants and finally a periareolar breast lift.  Without the breast lift you will have a very unacceptable cosmetic result.  Go see a few other surgeons and get a few more opinions.

Christopher L. Hess, MD
Fairfax Plastic Surgeon
4.4 out of 5 stars 34 reviews

Tuberous Breast Surgery and Concerns?

 Thank you for the question and pictures.

I would suggest that you share your concerns with your plastic surgeon. I would also suggest that you discuss the position of the nipple/areola complexes on your chest wall;  I would be concerned that you may not be happy with the outcome of the plan procedure if breast lifting  is not performed.

 Again, do not hesitate to ask for additional time with your plastic surgeon to discuss your questions/concerns.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Saggy breasts and areola size change with implants


  You  need an asymmetric breast lift with an evening out of the breast tissue at the same time.  The implants can be placed through these incisions under the muscle (in my opinion) and the areolas adjusted as needed.

  You and your ps need to decide on the size of the areolas but equal areolas are important to the final symmetric result.

  Good luck with your surgery.

Steven M. Lynch, MD
Albany Plastic Surgeon
5.0 out of 5 stars 18 reviews

Tuberous breasts and big areolas

go hand in hand.  You need to really think about your goals and expectations because there are so many options for you.  If you want smaller areola (they will stretch slightly with implants) you need an areola reduction and even possible left mastopexy/reduction if you desire similar sizes.  Once you know for sure what you want and what scars you are willing to accept, you must let your surgeon know so the right plan can be formulated for you.  And under the muscle is fine as long as the 'dual plane' technique is employed.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews


You appear to have some asymmetry with the left nipple and areola positioned a little lower than the right. You may only need a touch up on the left side

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon
4.9 out of 5 stars 14 reviews

Tuberous Augmentation. PS Said No Lift/nipple Reduction?

Each individual case has its own issues. That is why I ALWAYS explain the need for two operations or more in these cases. Best to re discuss the options with your chosen surgeon. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.