My nipples are pointy and puffy. Could I have tubular breasts? (photos)

Hello and thank you for you question. Your breasts do not appear constricted (tubular). They are attractive and proportionate to your body. Should you wish to change their size, a silicone implant in subglandular position will be the way to go. Best of luck. 

You have very modest constriction of the breast. They are attractive and there is no reason to change them by an operation unless there's something that is very bothersome to you. A breast augmentation can correct constriction of the breast when the implant is placed in a sub glandular position.

Tubular usually implies a form of developmental constriction of the base of the breast. Your photographs only indicate herniation of the breast tissue under the nipple areola complex.  Assuming you are happy with your breast size I would consider using the Benelli procedure that limits the scar to around the areola. It will not lift the breast tissue or enlarge your breasts but will reduce the hernia and reshape the breast from conical to a rounder shape.  Some surgeons add a biologic mesh to reinforce the repair

You may have a mildly tubular breast, but many women have a similar shape to their breast.  This "tubular breast" is a shape description and is not any danger or problematic finding to you.  If the shape bothers you, that is a different matter, and this can be addressed with the insertion of an implant and a surgical release of the tight tissues in the lower part of your breast at the time of surgery.  The implant would change the shape of your breast by widening or rounding-out the lower pole of the breast, and filling out the upper pole of the breast to provide more cleavage.  This may make the prominence of the nipple worse, and your surgeon might suggest a reduction to the areola at the same time.  The first step would be consultation with a board-certified plastic surgeon near you.Best regards,-Erik Hoy, M.D.

Based on your pictures, you have very very mild tubular breasts.  What to do to fix this depends entirely on what bothers you and what type of change in appearance you would like to achieve.  If you are happy with the appearance of your breasts there is nothing that needs to be done.  If you would like to increase their size and add volume to the upper portion of the breasts in particular, augmentation with an implant along with scoring of the breast tissue itself to help release the tubular constriction would be beneficial.  If the size of the areola is bothersome (keep in mind it will get larger after an implant is in place), a reduction in its size can be achieved with a peri-areolar breast lift, leaving the scar along the border of the areola.  I would suggest having a consultation with a board certified plastic surgeon that you feel comfortable communicating your goals and expectations about any potential surgery with.  Best of luck!Dr. Forsberg

thanks for the question and the pics. Analizing your pics you have the characteristics of mild touberous  breasts. The appareance can be chance with a breast augmentation and a aureolar skin reduction to achive your goals.

Thank you for the question and pictures.
Yes, I think your breasts may demonstrate some (but not most of the) characteristics seen with very mild tuberous (constricted) breasts.  There are lots of variations of tuberous breasts.
Some of the characteristics seen with tuberous breasts include a very narrow base, short distance from areola to inframammary fold, tight (constricted) lower pole of the breasts, relatively wide space between the breasts, "puffy" areola and some degree of ptosis (drooping).  
Generally,  correction of tuberous breast anomalies involves breast augmentation with areola reduction / mastopexy procedure. The distance from the inframammary fold is increased (to create a more rounded out appearance). Proper breast implant positioning improves the distance (cleavage) between the breasts. The areola reduction helps to treat the pointed and "puffy" appearance of the areola.

In your case, if the appearance/shape/size of the breasts are a concern,  you may be an excellent candidate for corrective surgery.  Exactly what operation would help you will depend on a full communication of your goals, with your carefully selected plastic surgeon. Based on your question and pictures provided,  a breast augmentation as well as an areolar skin/tissue  reduction  will serve to significantly improve the shape/contour of your breasts.     
You may find the attached link (dedicated to constricted/tuberous breast concerns) helpful.  Best wishes.

Dear Lllgarrett,It looks like you have a very mild case of tubular breasts where some of the breast tissue herniates into the areola.  This may be treated with augmentation and some radial scoring  but this will not decrease the size of the areola diameter, or can do a peri-areolar lift along with or without implant to correct the issue.Best Wishes,Pablo Prichard, MD

Your breasts are perfectly normal and attractive.  You do not have tubular breasts and your nipple areola is certainly within normal limits.  If you wish to have Fuller breasts a breast augmentation can be done.

Hi Lil,Thanks for the question and for the photgraphs.You do have a moderate degree of tubular breast.The term tubular is derived form Tubular roots that we study during our childhood as a type of roots in plants while studying subject of Botany.This means that the organ has a Tubular shape.The shape of these tubular roots is it is bulbous in some part but at the tip the root narrows down suddenly in a tubular manner.Same shape in case of breast that the breast does not stand out as round hemisphere but suddenly around 1 cm away from areola it tappers towards the nipple.This is caused by a congenital constriction ring that is present at the narrow area of breast.Its because of non differentiation of tissue into its normal shape in that particular part.Surgeons while correcting plan to release the constriction and then if need be place a sub glandular implant to open up the breast tissue under the NAC.If ever you think your should have a larger breast than you can think of its correction at the same time.Wish you all the best