Tuberous Breasts Correction for 34B? (photo)

Thank you for the question and pictures.
Yes, I think your breasts do demonstrate some of the qualities seen with tuberous (constricted) breasts.
Some of the characteristics seen with tuberous breasts include a very narrow base, short distance from areola to inframammary fold, tight (constricted) lower pole of the breasts, relatively wide space between the breasts, "puffy" and areola and some degree of ptosis (drooping).  
Generally,  correction of tuberous breast anomalies involves breast augmentation with areola reduction / mastopexy procedure. The distance from the inframammary fold is increased (to create a more rounded out appearance). Proper implant positioning improves the distance (cleavage) between the breasts. The areola reduction helps to treat the pointed and "puffy" appearance of the areola.

In your case, if the appearance/shape/size of the breasts are a concern,  you may be an excellent candidate for corrective surgery.  
When you are ready, please make sure you consult with well experienced board-certified plastic surgeons who have significant experience with this type of surgery.

I hope this helps.

 Tuberous breast

There are a number of features that define a tuberous, or tubular breast:
•Wide and puffy areolae
•widely spaced breasts
•high breast fold
•constricted lower pole (deficient tissue in lower half of the breast
•minimal breast tissue
•high breast fold
•narrow base of the breast

You have enough of these features that I would say you have made the diagnosis.

The surgery for this is high individualized, based upon the patient's anatomy, the patient's goals, and the realistic appraisal by surgeon and patient as to what is possible. 

It is not easy to estimate a cost for this without an actual in person evaluation for planning, but if you look at the RealSelf estimates for breast lift and breast enlargement, that would be a fair guess.

Thanks for your question, thanks for sharing your photos. Best wishes.

You will not get as much cleavage as you or your surgeon would like, overall a nice improvement of your breast contour is a reasonable expectation. 

Usually, the procedure for correction involves implants and some variant of a breast lift, often with some manipulation of the lower pole breast tissue to relieve the constriction. 

Although there is a lot of variation in what constitutes a "tuberous" breast, I would agree that you have a constricted lower pole base and "puffy" or herniated areolar tissue and therefore have a constricted or tuberous breast shape. 

There are two components to this. The lower pole constriction can be released and filled out by an implant with a minimum size increase of about one cup size. This will not correct the central areolar puffiness which requires a separate approach. This is not actually droop or ptosis and is a good example of what seems like a lift but is better done with a peri-areolar incision. This could be done with an augmentation (done through a separate inframammary crease incision) or done later or done without the augmentation. 

One other consideration is your age. Your breast will not become non-tuberous with age or pregnancy or weight changes but you might have less tubular characteristics as you get older or have a pregnancy. 

 

It is absolutely possible to correct tuberous breasts without an implant if you are happy with your current breast size.  That would involve a lift procedure (called mastopexy), with a scar at the edge of the areola.  The constricting bands in the breast tissue are identified and released, the areolar size is decreased, and the "herniation' of breast tissue into the nipple areolar complex is positioned where it belongs.  An implant helps if there is not enough breast tissue, especially at the base of the breast where the fold can be too high.  If you do not want the implant then a lift alone or with fat transfer could be considered.  Have a consultation for more in person information.  You will learn more that way.