Tuberous breast correction without implants?

Im concerned about breast implant risks and aesthetic outcomes since i have tuberous breasts, but i never see them corrected without implants. Is it impossible to loosen the constricted lower pole without implants? What if you had small implants to stretch out the bottom of your breast and then got them removed, would that be the only option? Or is a no-implant-correction just something ba surgeons dont do?

Doctor Answers 10

Tuberous breasts

thanks for your question and I hope all is well. Yes, there are options for you without implants. If you feel volume is an issue, then fat transfer is a great option. Almost always you need some form of lift as well. There are minimally invasive and advanced measures I use during fat transfer to open up the constricting parts of the fat transfer. Seek a BC plastic surgeon with fat transfer expertise to consult with. Best wishes.

Tuberous breast correction is possible without breast implants

Thank you for your question. You are welcome to visit my before and after gallery to find examples of tuberous breast correction without implants. The incision is around the areola to gain access to the base of your breasts to free up the constricted portion and re arrange your breast tissue from within. Results are natural and free of the risks/complications and maintenance associated with breast implants. I hope this helps.  

Best wishes and kind regards, 


Gary M. Horndeski, MD
Texas Plastic Surgeon
4.7 out of 5 stars 210 reviews

Tuberous breasts

Most tuberous breasts have a constricted lower pole with very little tissue. The implants add volume.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

#ASPS #plasticsurgery #breastaugmentation

Hello AppleOwl, Thanks for your question.  Since there is no way to say definitively over the internet which size would be optimal for you, take comfort in the fact that the surgeon uses your unique measurements and is able to provide you with a general range.  In many cases the board certified plastic surgeon can best be your guide as they’ve met with you in person and heard your aesthetic goals. You may consider doing 3-D imaging; however with nearly all the breast cases we’ve performed, we’ve found patients enjoy doing a live “try on” session where they actually can “try on” the implant in a non-padded bra in our office.  This does not give an exact measurement of outcome, rather it gives a nice idea of what to expect. For patients who desire a more natural look we like to recommend the shaped implant.  For patients who desire a more full, voluptuous look we recommend a higher profile implant (like Inspira). Remember that all breasts have at least some amount of asymmetry (we like to say they’re like sisters and not twins).  An in-person consult is the best way to discuss your questions.   Be sure to find a surgeon with the following credentials:  *Board Certified by the American Board of Plastic Surgery -- The gold star symbol   *A member of the ASPS (American Society of Plastic Surgeons) -- The circle symbol  *A member of the ASAPS (American Society of Aesthetic Plastic Surgeons) -- the Queen Nefertitti symbol with a Triangle.  Feel free to contact our office, it would be our pleasure to answer your questions in person.  My best, Brian Coan, MD, FACS  CARE Plastic Surgery

Brian Coan, MD, FACS
Raleigh-Durham Plastic Surgeon
4.9 out of 5 stars 52 reviews

Tuberous breast correction without implants?

Thank you for sharing your question.  In general the best treatment is with the use of implants to supply weight to stretch the skin and tissues constricted by the underlying condition.  You may be able to see some improvement with fat grafting to the region, but a full series of photographs would offer better information and recommendations.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 43 reviews

Tuberous breasts correction

Dear AppleOwl,

   Front and side view pictures would have been very helpful. The 2 most disturbing components of tuberous breasts are ptosis (droopiness) and herniating (protruding) areolas. These can be corrected by mini lift (donut, Benneli)  alone. However, I would strongly recommend augmentation with implants as well. These procedures will be one of the best investments in yourself. They will increase your confidence, your self esteem, your sense of femininity and will make shopping fun...

   Not all results are the same, because experience, skills and aesthetic eye are critical for good outcome. So, do you due diligence carefully and choose your surgeon wisely, to avoid bad result and need for corrective surgery.

    Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.

                   Best of luck,

                                            Dr Widder

Do you require implants to treat tuberous breasts?

Sometimes a mastopexy procedure can improve shape and symmetry of tuberous breasts. I recommend you see a Board certified plastic surgeon - sounds like you may have already. plasticsurgery.org provides a list. The outcome goal is yours, not your surgeon's, so you need to understand how things would like with and without implants. Fat also may be used to amplify the breast shape and size.

Michele A. Shermak, MD
Baltimore Plastic Surgeon
4.7 out of 5 stars 39 reviews

Constructed breasts

Thanks for your question. Constricted breasts can be a very challenging problem to solve. In  some patients fat grafting to the lower pole of the breast can have a very nice effect and significantly improve the deformity. It could take multiple sessions to get the desired look or size. An implant with the fat breast works best. 

John Mancoll, MD
Virginia Beach Plastic Surgeon
4.9 out of 5 stars 35 reviews

Tuberous breasts

You ask an excellent question.  Tuberous breasts are the result of not only bands of connective tissue which constrict the lower breast, but also an underdevelopemnt of the lower breast pole.  Release of the bands is one aspect of correcting the deformity, but lower pole skin must be recruited onto the breast to give a rounder more natural shape.  This is very difficult to do without implants.  I would consult an experienced board certified plastic surgeon as correction of tuberous breast is challenging but a not unusual problem seen by plastic surgeons.  Good luck

Edward J. Ricciardelli, MD
Wilmington Plastic Surgeon
5.0 out of 5 stars 27 reviews

Tuberous breasts

Photos would be very helpful in your case.  We have used fat grafting as a very viable option to correct tuberous breasts.

Edward J. Bednar, MD
Charlotte Plastic Surgeon
4.9 out of 5 stars 108 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.