Are my breasts tuberous? 24 years old. (photos)

Question

Seems like my breasts have looked like this since I started my periods at age 13. I was diagnosed with an interactive thyroid at 17, nothing has changed breast wise since I started my medication. The right breast has always been bigger. I'm not bothered about the size really, but I hate the shape, don't seem to fill bras. When my nipples are effect the shape of the breast changes, a lot founder and nicer. I'd like them to stay like that, but only seems to last a matter of minutes

Paul Vitenas, Jr., MD · Answer

Thank you very much for your
question and photographs. From your pictures, it does appear that you have
tuberous breasts. Depending on the individual patient and the extent of
correction required, surgical correction for tuberous breasts can be extremely
successful. By releasing the constricted tissue, your breasts and nipple/areola
area will take on a more natural shape. Using different size implants, an
experienced surgeon can also correct your breast asymmetry, while providing a
fuller, rounder chest. I recommend that you speak with a board certified
plastic surgeon, experienced in tuberous breast correction. At this time,
he/she will perform an in-person examination to determine if you are a good
candidate for the the procedure.

Jimmy S. Firouz, MD, FACS · Answer

Thank you for sharing your photo. You do appear to have tuberous breasts. To correct this, you will need more than a basic breast augmentation procedure. Tuberous breast correction is a very meticulous and specialized procedure, which should only be performed by a board certified plastic surgeon with extensive experience in this area. My technique uses a breast implant in conjunction with a periareolar incision for reconstructive tubular breast surgery, as provides the highest degree of control and accuracy when placing the implant. This surgical technique results in a natural, symmetrical, and full breast appearance. In order to restore a more ideal and rounded breast shape, you may also recommend a breast lift along with the augmentation. Each patient with tuberous breasts is unique, and so is their surgery. I would need to consult with you in person to determine the best tuberous breast correction surgery approach.

Darrick E. Antell, MD, FACS · Answer

While your breasts are not round, I would not call them tuberous. A size discrepancy between two breasts is very common but if you wish to change the shape I would recommend a modest breast augmentation. You did not mention it, but your nipples appear to be different heights too. During a consultation all of the pluses and minuses would be discussed so that you can make an informed decision as to the best approach.

Sean Doherty, MD, FACS · Answer

Based on your photos, you do appear to have both tuberous breasts and obvious asymmetry. If the look bothers you then schedule a consultation with a board certified plastic surgeon to discuss treatment options. These would probably include a breast lift with an implant. Best of luck.

Mark H. Peters, MD · Answer

Thank you for your question to a common presentation for plastic surgeons. Tuberous breasts have a wide spectrum of presentations and the elements which are typically associated vary in their severity as well.  In your case, it appears that you have a mild constriction of the lower poles of both breasts. Another element of the tuberous breast is "herniation" of the breast tissue into the areola.  Although you present with a mild herniation, the erection or flattening of the areola accounts for a more pleasing appearance as the breast tissue is "pushed" back into the breast.  And lastly, it is not uncommon for significant asymmetry which you have.  As part of the procedure to address various elements of the tuberous breast you have presented here, correction of the herniation can be performed. In addition, improving the lower pole constriction and volume asymmetry would be performed as well.  Good luck.

Mennen T. Gallas, MD · Answer

Thank you for posting your question and photos. Judging by your photos, it appears that you may have a mild case of tuberous breasts. I suggest that you schedule consultations with board certified plastic surgeons in your area for an evaluation and recommendations. Many women with tuberous breasts benefit from breast augmentation. Often times a lift is required to achieve the best possible result. Best of luck,

Jean Paul Giudicelli Saba, MD · Answer

Hi, thanks for sharing your concern and photos with us!
First I want to congratulate you for making this important decision. Deciding to get an aesthetic procedure to change your body and get a new life style is a big step!
  
Looking at your photos I might say that you´ll be a great candidate to get a breast augmentation with implants. The size of the implant will depend of what you want and what your body support; the results of this procedure are beautiful, giving you and excellent shape of the inner and outer pole of the breast.  
  
Before all this, of course, you need to get a complete medical evaluation and laboratory exams to check everything is fine. For us your safety, always, is going to be first.
  
Have a great day! 
  
Dr. JPG

Anthony J. Taglienti, MD · Answer

Thank you for your question. Yes, you do seem to have a slight degree or both asymmetry and tuberous breasts. Tuberous breasts are not dangerous and fairly normal - as you've described, the fold of the breast (the IMF) is typically higher than usual and the nipple has a fair bit of tissue behind it that leads to a somewhat triangular shape. In my experience, women with an asymmetry like yours and with tuberous breasts would do well with an implant and a periareolar lift to flatten the triangular shape of the breast. To review all of your options, I would suggest having an in person consultation with a Board-Certified Plastic Surgeon. Best of luck!

Are my breasts tuberous? 24 years old. (photos)

Answers (8)

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