Do I have tuberous breasts? Will I need more than just a regular breast augmentation? (photos)

Hello,
Thank you for the question.
Based on your photos, you do not appear to have a classic tuberous breast deformity but you do have underlying breast asymmetry with restricted lower pole and higher breast fold on the left. You should be a a good candidate for breast augmentation.
Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on patient’s desires, as well as breast and soft tissue dimensions.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon in order to discuss your goals and concerns for the best cosmetic results. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
Best regards,
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Tuberous breast deformity is a wide spectrum of breast aesthetic appearances related to tight constricting fascia of the breast. When this fascia is too tight (in varying amounts), it can result in a wide range of nipple herniation/asymmetries/bulges and high riding/constricted breast folds with small lower poles. The method of correction is the same in most of these patients. This includes placing a highly cohesive silicone gel implant below the muscle with a proper dual plane augmentation and releasing any constricting fascial bands to permit the implant to exert its effects on the breast. These can be highly challenging surgeries. You need to find a highly experienced American Board of Plastic Surgery Certified Surgeon with extensive aesthetic breast surgery experience.

It does appear that you have some mild constriction of tissue around your nipples. This constricted tissue may need to be released before the breast implants are inserted.