Do I Have Tuberous Breasts & How Can I Fix Them?

Hello, thank you for the pictures.  Tubular breasts are seen in a significant percentage of our patients.  Signs of tubular breast include:

A poorly defined inframammary fold or no fold.

Pseudo-herniation of breast tissue into the nipple areolar complex.

A flattening along the lower pole of the breast with minimal rounding appearance. 

I would say looking at your pictures you have some of these signs.  A physical exam in person would also help.  There are several techniques during surgery that can be performed to create a more natural and rounder shape to the breast. 

Best regards,

Dr. Brian Joseph

 

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.

Thank you for the question and photos.  It does not appear you have tuberous breasts.  Breast augmentation can be able to increase the volume of your breasts and give it a fuller look.  Costs very from one location to another and also between clinics.  Best to consult a board-certified plastic surgeon and get information on your options.  Best of luck. Dr. Michael Omidi.









An
in-person exam with a board-certified plastic surgeon is the best way to assess
your needs and provide true medical advice.

Tuberous breasts tend to be narrow at the base and are overly projecting for their size, and this phenomenon may occur on one or both sides. In its mildest form, the lower pole of the breast is underdeveloped or may even appear constricted - sometimes referred to as a 'constricted lower pole'. In severe cases the breast is conical in shape and is sometimes described by the patient as looking like a 'torpedo' or a 'Snoopy dog'. Regardless of the degree of tuberosity, it is possible to dramatically improve the appearance of the tuberous breast during augmentation surgery using a number of specialized surgical techniques.

Many patients with severely tuberous breasts have said that they have never removed their bra in an intimate setting. Careful patient assessment, thoughtful planning and attention to detail during the surgical procedure can produce a dramatic and life-changing improvement for most patients with tuberous breasts.

Tuberous breasts require innovative and reconstructive procedures. When you are ready, choose your surgeon carefully. Find a Board Certified Plastic Surgeon who is experienced in this type of demanding surgery. Good luck when you are ready!

Tuberous breasts come in many different varieties. An minimal version has a resticted lower pole, such as yours. Proper repair includes vertical scoring of breast tissue in the lower pole prior to implant placement.

Good luck!

Thank you or submiting your photos. Regardless of the definition, you share many of the same characteristics of a tuberous breast, including a tight inframammary fold and a short distance from the lower edge of your areola to your inframammary fold. My approach would be a dual plane breast augmenttion technique in which the implant is placed beneath the muscle above the level of your areola, but beneath your areola, the implant is placed into a subglandular or above the muscle position. This combined with "scoring" or release of the gland, allows the implant to fall into a more natural position and will fill out that tight lower breast fold. Thank you. 

You may or may not fall under this catagory. In essence, it does not matter as the treatment would be the same in your situation. What matters most is the lack of skin (i.e. it is a short distance) between your nipple areola and the under crease of your breast (i.e. the inframammary crease) where your bra wire lies. This needs stretching either by way of a staged implant increase or an implant mastopexy procedure. It may require more than one operation to get your full size and areola position so be prepared to here this.

I think the reason for the variation in answers to your question has to do with the photos you presented.  The conical shape of your breasts does have a pre-partum shape (you never had children) however, looking at your right breast in the middle photo you presented, you definitely appear to have some 'herniation of breast tissue' into your areola- a component of the concept of constricted or tuberous breasts.  Better photos would be needed to give you a better explanation.  This is something that isn't quite so obvious in the same breast on the third photo where it is closer to the camera.  In my opinion, once this herniation is present, I do not think that simply scoring the upper breast pole will correct the issue.  In this type of case I believe a circumareolar mastopexy is necessary.  

You may have a component os a tuberous breast deformity becuase it looks like form your photos that the lower pole is a bit tight.  An implant placment with +/- scoring of the lower pole may be all that you need to get a nice shape.