Do I have tubular breasts or just puffy areolas? When I see pics of the condition it doesn’t quite look like mine. (photos)

Thank you for the question and photos. You appear to have enlarged areolae which is one of the features of tuberous breasts but you don’t have tuberous breasts.
I recently operated on someone who has a similar appearance and requested that her Areolae be reduced without implants. I performed a circumareolar reduction on her while she was awake in the office under local anesthetic.
It is not complicated.
Of course there are risks as with any surgery.
I plan to post her photos online after a few weeks of healing.
I hope this helps.
All the best,
Dr. Khuthaila

Thank you for sharing your question and photographs. You do not appear to have tuberous breasts, rather a more puffy nipple appearance allowing for some breast tissue herniation when relaxed. Hope this helps.

Thanks for your question. In your relaxed photos the areolas seem a bit puffy, you have a slightly conical shape and a short distance from the nipple to the fold consistent with a mild degree of constriction- not tuberous. When your areolas contract it flattens this area and pulls the tissue tighter diminishing the conical shape. Areolar reduction Is essentially a Benelli or Donut mastopexy that removes areolar tissue. It is used to circumferentially tighten the breasts, sometimes over implants (but not always) and helps to flatten the puffy nipples into the breast tissue-- like what you see when your areola contracts.
I think it is likely to help your concerns but you must approach it with caution. This type of circular tightening is known for the areola stretching back again to some degree and sometimes widening of the scars. These concerns are more common when tightening over an implant because of the outward pressure of the implant but need to be weighed none the less.

Hope this helps.

The are three grade for the tubular breast and your pictures show grade I. You have large areola that is looking normal in the last picture due to the contraction of the areola. The options are fat grafting and areola reduction or areola reduction only. Please see the link of a grade II case