I thought my breasts were just pointy--are they actually tubular? (photo)

The picture demonstrates intermediate tubularity of the breast. Silicone gel implant placed in a sub glandular position should yield an excellent result if breast augmentation is desired.

Yes you
have tuberous breasts.



Tuberous
breasts are not just small breasts, but are the result of some change in breast
development. The definition and characteristic appearance of tuberous breasts
generally includes the following features related to the underdevelopment: - A
contracted or deficient skin envelope - A
constricted breast base (the breast occupies a smaller size on the chest wall) - A
reduced volume and amount of breast tissue - Abnormal
elevation of the inframammary fold - Wide
spacing between the breasts - An
enlarged nipple-areolar size compared to the breast size - Pseudoherniation
of breast tissue into the nipple-areolar complex (puffy areola) - Although
the shape can vary based upon the type, the moderate to severe forms tend to
have a more narrowed cylindrical shape; the milder varieties tend to have a bit
more of a conical shape



The
etiology of the tuberous breast deformity is unknown. This condition can affect
some women’s ability to breast feed.



There are
four classifications of the tuberous breast:

Type I –
underdevelopment (hypoplasia) of the lower medial quadrant

Type II –
underdevelopment of the lower medial and the lower lateral quadrants, but with
sufficient skin in the region below the areola.

Type III –
underdevelopment of the lower medial and the lower lateral quadrants, but with
a deficiency of skin in the region below the areola. (This is similar to Type
II but with less skin below the areola, and a tight inframammary fold)

Type IV –
Severe breast constriction, with a very minimal breast base.



I would
classify your breast shape as closer to a Type III since you have less skin
below the nipple-areolar complex (a tighter lower pole). You have a small amount
of breast tissue with at least a mildly constricted base, and subsequently a
contracted skin envelope; your breasts lack fullness and roundness in the lower
quadrants; your breasts are widely spaced because of their small size; and you
have an elevated inframammary fold.



The
appearance of tuberous breasts can be altered with breast augmentation. Some
women require a breast lift, but you should not. The more mild forms are easier
to correct than the more severe forms. Consult with a plastic surgeon about
your options.



Best
wishes, Ken Dembny

I think based on your photos that you do have tuberous breasts. Based on what I see in my practice, your chances of having insurance pay for your breast augmentation is slim. Correcting tuberous breasts is usually not covered, at least not in my area. Check with your plastic surgeon and they can tell you what their practice experiences.