Do I have tuberous breasts? If so, what type? (Photo)

Question

I’m 21 years old, i have never been overweight (weigh around 46-50kg.) breasts have been a big concern of mine since i hit puberty, im scared of going to a plastic surgeon to valuate me before i know whats wrong with me.

Robert M. Lowen, MD · Answer

You have tuberous breasts.  This challenges the plastic surgeon, because few of us deal with this problem frequently.  So two papers that discuss the issue show that the tuberous breast comes in a lot of variations with different degrees of lower pole hypoplasia, volume, nipple areola configuration.  Using just one method like an implant and lift can lead to a double-bubble in some variations due to the insufficient and short nipple to fold distance to fit an implant. In some cases, two sessions of fat grafting gave very nice results with a natural look and no scars.
  You can check out these two articles on PubMed and discuss them with your plastic surgeon as a starting point on deciding on a surgical plan that works best for you: Aesthetic Plast Surg
. 2022 Sep 26. doi: 10.1007/s00266-022-03089-x. Online ahead of print.
Tuberous Breast, Deformities, and Asymmetries: A Retrospective Analysis Comparing Fat Grafting Versus Mastopexy and Breast Implants and
Aesthetic Plast Surg
. 2022 Dec 22. doi: 10.1007/s00266-022-03233-7. Online ahead of print.
Comment on: ''Tuberous Breast, Deformities, and Asymmetries: A Retrospective Analysis Comparing Fat Grafting Versus Mastopexy and Breast Implants''
Stefano Vaccari 1, Flavio Bucci 2, Riccardo Di Giuli 2

Zoran Potparic, MD · Answer

Based on these photos, you seem to have breasts with narrow base and large, herniated areolas. This can be corrected with breast lift type of surgery which will address breast shape and reduce size and herniated look of areolas. In person consultation with a board certified plastic surgeon who has excellent reputation in breast surgery (check the website) is recommended.

Gary M. Horndeski, MD · Answer

I do not believe your breasts are tuberous. You would benefit from a breast lift using 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

George Lefkovits, MD - Account Suspended · Answer

Your photos are not very helpful. You should not be afraid to consult with a Plastic Surgeon. This will allow you to have a definitive diagnosis in determining whether or not you have tuberous breasts. No one will operate on you until you decide to have surgery, so there is nothing to fear. Good luck!

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