Tuberous breasts or not? Do I need a lift? (Photos)

Thank you for your question. It seems you don't have true tuberous breasts. However, you would benefit from a breast lift with implants, as your nipples are positioned below the breast fold, and you have noticeable sagging and loose tissue. If you're unsure about proceeding with a breast lift, you can stage the procedure by starting with implants and reassessing the results later. This approach allows you to see if the added volume alone meets your goals, without the extra scars from a lift. If, after some time, your breasts still sit low or you desire more lift, you can consider a breast lift at that point.

Thank you for your question. From your description and photos, you don't appear to have tuberous breasts. However, you do need a breast lift with the implants because your nipples are positioned below your breast fold. Without the lift, your breasts may become larger but still sag. A mastopexy will help position the nipples higher and give you a more natural shape. Consult a board-certified surgeon to assess the shape, base width, nipple position, and overall breast tissue to determine your best option.

Dear Genuine627215,

tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.
The type of surgery best for you will depend on the severity of your condition.
My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.
That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.


Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery