Do I have tuberous breasts? What options do I have to correct them? (Photo)

Tuberous breasts are a condition characterized by the abnormal development of the breasts during puberty. This can result in breasts that appear elongated or constricted at the base, with a high and tight inframammary fold, and often with enlarged, puffy areolas. The shape may vary, but common features include a narrow base of the breast and a lack of fullness, especially in the lower part of the breast.
Treatment for tuberous breasts typically aims to reshape the breasts into a more typical rounded form, increase their symmetry, and correct the base width and areola size. Options vary based on the severity and specific characteristics of the condition:
Breast Implants: Often used to provide fullness, especially in the lower part of the breast.
Breast Lift (Mastopexy): This can involve different incision patterns, such as the "lollipop" lift, which you mentioned. It involves incisions around the areola and vertically down to the breast crease, allowing significant reshaping.
Fat Grafting: Involves transferring fat from another part of your body to your breasts, helping to fill out the contour without more invasive surgery.
Areolar Reduction: This can be part of the procedure to address enlarged areolas common with tuberous breasts.
If you are concerned about the scars associated with a lollipop lift, other less invasive options like fat grafting may be considered, though they might be limited in their ability to fully correct more severe cases of tuberous breasts. Each approach has its pros and cons, and the best choice depends on your specific anatomy and cosmetic goals.

No, your breasts are not tuberous but simply ptotic and small. The lift technique I recommend is 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. The areolas can be reduced to the size you desire.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question and photos. To properly evaluate you it would be necessary to examine you in person. That said, your photos show that you have moderate ptosis (sagging or drooping) along with widened areolae. The goal for most women who are not happy with their breasts is to achieve the prettiest breasts. This usually includes minimal sagging with proportionate volume, proper nipple/areolar location and size, and symmetry. If you feel you would like to be larger, implants can be included at the same time.

I wouldn’t worry too much about scars. Although that’s indeed a concern for all patients, most women find the scars an acceptable exchange for pretty and symmetrical breasts. Do your research, and consult with an experienced board certified plastic surgeon whose Before and After gallery, and reviews appeal to you. Best of luck.