Tuberous Breasts or Just Very Saggy? (photo)

Hi Missisabella. We all agree that you have sagging breasts. Dr. Gottlieb has explained the definition of the tuberous breast very nicely. Are you done with having children? I recommend this prior to any procedure. You have nice shape to your breast gland but it is too low in relationship to the infra-mammary fold and because of this, on your body. Even young women are unfortunate in that this can be a congenital and familial situation not just because you had large breasts that fell when they emptied out. I agree with a full lift; there well be scars around the areola and the breast which is the trade off. Do you like your breast size in a bra? If so, you may not need to consider an implant, although this can improve the upper shape of the breast. You appear to have pretty good fullness in the upper pole of you breasts from the photos, but the consideration of implants and the trade-offs should be discussed and confirmed by physical exam during a consultation. Hope this helps. 

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation.  Always insist on a board certified plastic surgeon.

It doesn't appear that you have tuberous breasts. They are just affected by ptosis (sagging). To correct this, a breast lift would make them perkier and firmer in appearance.  

Thank you for your question!   Given your photos, it does not appear that you have a tuberous breast/constricted breast deformity.  Without an examination, it will be difficult to tell you for certain, however, it appears that you have breast ptosis (sagging).  I believe that you would have a great result with a breast lift.  If you desired increased size and fullness, then consideration for an implant would be deserved.  Consult with a plastic surgeon well-versed in breast surgery and discuss your goals and expectations.  S/he will then be able to examine and discuss the various options and assist you in deciding which decision os the right one for you, given your desires.  I would expect a very pleasing result for you!  Hope that this helps!  Best wishes for a wonderful result!

This is not a tubular breast deformity.  I would recommend a breast augmentation and breast lift.  Consult with a couple of BC PS in your area.

Dr. ES

Let me add my opinion to my colleagues' that you simply have ptosis and none of the signs of tuberous breasts. Skilled plastic surgery (full breast lift, with or without implants) can give you youthful-appearing, smaller areolae, and (if implants) fuller breast volume with scars that usually fade quite nicely.

The key is not a "name" or label for your breast condition, but an experienced ABPS-certified plastic surgeon who does lots of breast surgery, and can show you nice examples of breast lifts, with or without implants. Beware of "short-incision" or fad design lift incision patterns--careful and artful shaping cannot be done with only a circle (periareolar) or a line (vertical, circumvertical, or lollipop) when there is this much droop present--shaping needs to be done in two dimensions, not just one. Best wishes! Dr.Tholen

Not tubular, just saggy. You are a good candidate for a lift and implants.  Good luck! 

Looking at your photos, your breasts are not tuberous but are droopy or ptotic and could be 'improved ' by mastopexy or breast uplift. Regards and good luck

You appear to have ptosis (sagging of the breasts).  If you desire to change the aesthetics of your breast, a breast lift would raise the nipple areolar complex and a small implant will help provide fullness.

Your breasts are sagging not tuberous and you have a lot of extra skin with stretchmarks. This usually happens after large weight gain and loss or after breast engorgement associated with pregnancy. If those do not apply in your case it could possibly be due to rapid early growth of the breasts during puberty. You see a similar skin condition in teen body builders whose muscles grow faster than the overlying skin can accommodate.

The nipples will need to be raised so much that you will likely need an inverted T or Wise pattern lift with or without an implant. Don't let anyone talk you into a lesser lift with a larger implant because that will only magnify your problem over time.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.