Tuberous breasts. Would I need a lift or lower of the inframammary fold to achieve big round breasts? (Photo)

Question

I’m looking to get breast augmentation in the future (have not yet seen a plastic surgeon) but I am curious to see if you think I would need a lift or lowering of the inframammary fold to achieve big round breasts. No professional has said I have Tuberous breasts but I am quite sure I have them.

Leila Kasrai, MD, FRCSC · Answer

A side photo would help. Based on the front one you’ve provided, however, you don’t appear to have constriction of tissue around your nipples and you have a distinct breast fold. These are two traits that define the tuberous breasts. A straightforward breast augmentation may be sufficient, depending on whether there is no sagging present.

Elizabeth Kiwanuka, MD, PhD · Answer

It's good to clarify the distinction between tuberous breast deformity and having naturally small, narrow breasts. Tuberous breast deformity is characterized by several specific features: a constricted breast base, which makes the breast appear narrow and elongated; herniation of breast tissue into the areola, causing the areola to appear puffy or enlarged; and a higher than usual inframammary fold, which makes the lower part of the breast lack fullness. It also typically involves some degree of asymmetry.
If you have small and narrow breasts but do not exhibit these other features, it’s possible that you do not have tuberous breast deformity. Instead, your breast shape might simply be the result of your natural anatomy.
For individuals with a narrow breast width (or footprint), achieving a round, full look through breast augmentation can be done effectively with careful planning:
Implant Selection: Choosing the right size and shape of implants is crucial. Round implants might be recommended to enhance fullness, especially in the upper part of the breasts.
Adjusting the Inframamary Fold: In some cases, lowering the inframammary fold allows for the placement of larger implants, which can help achieve a more rounded and aesthetically pleasing breast contour.
Consulting with a plastic surgeon is the best way to determine what specific procedures will help achieve your desired outcome. They can provide a detailed examination and tailor a surgical plan that aligns with your aesthetic goals.

John Michael Thomassen, MD · Answer

You do have a short lower pole on both breasts that would classify them as tuberous; however, it does seem like your skin in the lower pole will stretch and fit a properly sized implant without violating the inframammary fold.  Lowering the fold may risk a double bubble deformity but in your case it may be possible since it doesn't seem very constricted.

Miguel Mota, MD · Answer

Hello and thank you for posting. NO LIFT IS NECESSARY! I do not think you have tuberous breasts. You do have a high breast fold and your breasts are far apart….. these are some of the features of tuberous breasts but they are not enough for a diagnosis. Your breasts are not constricted in any area. They are just small. Plus there is no herniation of breast tissue. Constriction of the lower quadrant, plus herniation result in enlarged areolas that seem to puff out. This is not your case.

You essentially have small breasts that can be enhances with a breast augmentation. Lowering the breast fold can be done to acomódate for implant size and guarantee correct nipple positioning, but this has to be done carefully to avoids bottoming out in the future.

Best of luck,
Dr. Miguel Mota

Zoran Potparic, MD · Answer

It doesn’t look that you have tuberous breasts based on the photos. Breast asymmetry by means of size and breast position (asymmetric inframammary folds) can be corrected with implant augmentation, correction of IMF, possibly fat grafting. In person or teleconference consult with a board certified plastic surgeon with good reputation in breast surgery is recommended. Good luck.

Gary M. Horndeski, MD · Answer

Your breasts are not tuberous, just low on the chest wall and widely separated. You will definitely need a lift at the time of augmentation. If you don't then the implants will point outward and you will be dissatisfied. I recommend 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, small implants can be placed.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

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