Tuberous breasts or just very saggy? (photos)

This is difficult to determine without a definitive physical examination. I think that there is certainly some element of ptosis ("saggy") and also a mild tuberous breast deformity.

Hello,

Thank you for the question.

Based on your photos, you appear to have droopy/deflated breasts, not consistent with tuberous breast deformity.

You appear to be a good candidate for a full mastopexy (breast lift) which will put your nipples into the correct position, decrease the size of nipple/areola and allow excess skin to be taken away, giving you a more youthful looking breast. Some people are a little apprehensive to the full breast lift due to the scars, but typically they do very well.

Donut breast lift can help decrease the size of the areola and elevate the nipples, but it will not change the overall shape of the breasts.

Sometimes, breast implants can also be added in order to increase upper pole breast volume.

I would encourage you to seek a consultation with a Board-Certified Plastic Surgeon to further discuss your options, specific techniques, concerns and expectations.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

Your photos do not suggest the presence of tuberous breasts. Depending on your goals I expect breast lifts and implants would provide the best outcome.