Do I have tuberous breasts and if yes, what's the best procedure to improve their appearance? (Photos)

Question

Also, are my areolas normal? I'm 18, female, 49 kgs.

Donald R. Revis Jr, MD · Answer

Good afternoon,
Your breasts aren't really tuberous but you do have a wide gap. Your best choice would be a donut mastopexy to reduce your areolas, better center your nipples and tighten your skin, as well as a submuscular augmentation with saline or silicone gel implants, depending on your preference. We would determine the exact size and profile when I measure your chest, we review photos together, and you have an opportunity to try on the implant sizers here in the office!

Ted Eisenberg, DO, FACOS, FAACS · Answer

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 breast implants. 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 is right for them. 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 do not appear tuberous but are small and widely separated. 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 or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Cheerful935642,
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

Ram Kalus, MD, FACS · Answer

Thank you for your question and photos. An examination in person would be required to properly evaluate you, however based on your photos it appears that you would be a good candidate for a properly planned for and executed breast augmentation. Please consult with an experienced board certified whose aesthetics seem to align with your own based on his or her Before and After gallery. Best of luck to you.

Connie Hiers, MD, FACS · Answer

You do not have tuberous breasts, and your nipples are normal. You have mild sagging which can be corrected.  If you want fuller breasts, implants is the best choice.

Camille Cash, MD · Answer

Your breasts do not appear tuberous.  Your breasts are wide set, which is determined by your anatomy.  If you are interested in augmentation I encourage you to meet with a board certified plastic surgeon near you.

Do I have tuberous breasts and if yes, what's the best procedure to improve their appearance? (Photos)

Answers (7)

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