B80 cup size with quite puffy and large nipple/areola: might I have tubular breasts? (photo)

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.

   Tuberous breasts typically require some form of breast augmentation with breast lift (either circumareolar, vertical or full breast lift).

Yes you appear to have some degree of the tuberous breast deformity.  This is notable in the constricted lower pole of your breasts, and mildly herniated nipples.  The good news is that this is fixable if you are interested.  This most commonly entails a circum-areolar reduction, lower pole release and implants.

 You certainly have many of the characteristics of a tuberous breast deformity including a tightness to the lower pole of your breasts, a herniation of your breast tissue into the area of the nipple, and a stretching of the areola complex.  You also have a significant size discrepancy between your two breasts.  I believe a breast augmentation will improve your appearance but you must be careful and discuss in detail with your surgeon how your breast augmentation will differ from a traditional breast augmentation.  Simply putting implants in with your current situation, without addressing your unique anatomy may lead you to being disappointed with your results post-op.  Good luck.

An examination in person by a board certified plastic surgeon would be ideal to answer your question.  From the pictures you show I do not think you have tuberous breasts.  Your right might have very mild constriction around the areola but otherwise I would not say you have tuberosity.  You do have glandular breast tissue that may be concentrated under the nipple to give the pointed look (but that is not tuberosity) and that would need to be addressed during your surgery to give you a natural looking breast augmentation.

Hello Julie. Thanks for posting and the photos. Except for some puffiness of the areola, I do not see the classic signs of tuberous breasts in your photos. I do see some asymmetry, specially with regards to the breast size and nipple position.  These type of asymmetry is normal in many patients. You are a good candidate for breast surgery and possibly areola surgery to reduce the diameter. See a   board certified plastic surgeon. Best wishes, Dr. Aldo

The puffy and enlarged areola are consistent with a tuberous breast deformity. They can easily be corrected with surgery

Very minor tuberous deformity is noted on the posted photos. Best to obtain IN PERSON evaluations from boarded PSs in your city. 

Hello,

Thank you for the question and photos.  Yes, you do appear to have a mild form of tubular breast deformity.  Your insecurity with regards to your breast appearance is understandable but there is a very good solution and I do believe you would obtain a very nice result.  A breast augmentation with release of some of your breast tissue tightness can provide a very nice result.  You will have to decide on what breast size you would like to accomplish.  Next, I would recommend having several consultations with board certified plastic surgeons that have experience with tuberous breast deformity.  Often, silicone implants in a subglandular/subfascial position with scoring of the breast tissue is helpful.  An incision around the areola with reduction of the areola can be accomplished at the same time.

All the best,

Dr Remus Repta

Hello Julie,

Thank you for your question and pictures.

Yes, you clearly have tuberous or constricted breasts.  This is not uncommon and plastic surgeons deal with this all the time.  The treatment depends on your goals, but most commonly, a breast augmentation is performed with release of some of the internal constriction bands, as well as performing a periareolar breast lift.  If no augmentation is desired, then another option is to only perform the periareolar breast lift.

Best Wishes!

Pablo Prichard, MD