19 years old- Do I have a tubular breast?

Question

I’m 19 years old, and at this age i think I’m done with puberty, but for my left breast it seems like is not fully developed because I have a puffy areola and flat which is different from the right one, despite the fact I started developing the right one and also expect it to be more fuller than left one, but I’m still wondering why I have this shape of left breast and thinking if is tubular breast.

John Michael Thomassen, MD · Answer

You do not have a tubular breast deformity as you have a pleasing lower pole contour.   You do have a herniated nipple/areola that would benefit from a Benelli type or periareolar lift to reduce the areolar size and correct the herniation.

Finny George, MD · Answer

Hi, thank you for sharing your question. You have a mild tuberous breast deformity with herniation of the breast through your areola. This can be corrected with surgery.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Unfortunately, surgeons have created the term tuberous breasts, a fact which causes unnecessary concerns for women. Many women just have different sizes and shapes and in my opinion shouldn't be labeled. I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, if interested. They then get to choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

Your breasts are asymmetrical and one nipple-areola complex is protruding more than the other. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ram Kalus, MD, FACS · Answer

Thank you for your question and photos. An examination in person would be required to properly evaluate you but based on the photos you have provided it appears that the puffiness under your areola is indeed a mild version of tubular breast. If this is of significant aesthetic concern to you (there is no functional significance) this can be corrected with a well concealed scar that reduces the areolar diameter and corrects the puffiness. Please consult with a board certified plastic surgeon who can advise you specifically. Best of luck to you.

Daniel Barrett, MD · Answer

Dear Nusaiba,
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

Connie Hiers, MD, FACS · Answer

No, you do not have tubular, shaped like tubers, breasts. You do have two different breasts which is not unusual.

Douglas Taranow, DO, FACOS · Answer

A photo of both breasts together would aid in a surgical approach. You do have a puffy nipple/areola and a very slight construction, however, the central and lower breast are round and not constricted. A unilateral periareolar (around the nipple) mastopexy May be indicated, but a physical exam is required to better answer your questions

19 years old- Do I have a tubular breast?

Answers (8)

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