Tubular Breast Deformity

Tuberous or tubular breasts are characterized by breasts that are more conical in shape than round. They are caused by a skin deficiency that occurs during development either at the bottom, medial or lateral portion of the breast. There are often significant asymmetries between the breasts, particularly if the condition only affects one breast. There can also be herniation of breast tissue into the nipple areola complex that can exaggerate areola size compared to the rest of the breast. While the issue is not usually a significant medical concern, it can have a profound impact on a woman’s appearance and self-esteem. The psychological effect often brings women to a plastic surgeon in search of corrective procedures to create a more appealing shape and balance to the breasts.

From Dr. Barrett

“Understanding the anatomy and type of tissue or skin deficit in a tuberous breast patient is the most important step. Many surgeons simply offer breast augmentation to tuberous breast patients and that is a mistake. Precise breast release based on the patient’s anatomy is required to fully release the breast and provide a more normal shape. I love my tuberous breasts patients because when they see their new look, they blossom into more confident and satisfied women.”

Dr. Barrett is trained and experienced in complex corrective procedures, making him an excellent choice for addressing your tuberous breast deformity. He will take the necessary time to assess your situation and create a treatment plan tailored to your needs and desired outcome. With compassion and professionalism, Dr. Barrett and his staff at Barrett Plastic Surgery are ready to hear your concerns and help you find a solution that works for you.

What is Tuberous Breast Deformity?

Tubular or tuberous breasts refer to a congenital deformity in which the breast shape and areola are distorted due to incomplete development during puberty. Unlike the ideal breast, which is round and equally distributed across the chest, tubular breasts may be wide-set, elongated and pointy, with high breast folds and an enlarged, puffy areola. These symptoms are usually the result of excessive or deficient breast tissue, exacerbated by constriction of the breast at its base on the chest wall.

This condition ranges in severity from mild to significant and may affect one or both breasts. Women often report substantial embarrassment and body image issues from tuberous breast deformity. However, surgical correction can create a more rounded, symmetrical appearance that restores a woman’s confidence in her body.

How is it Treated?

Correction of tuberous breast deformity typically involves surgery on one or both the breasts. In some cases, the procedure can be performed in a single session. Other women may require a staged approach, in which an expander is placed into the breast first, and the implant is done once the breast has sufficient space to accommodate it. The two-step approach is typically recommended when there are significant differences between the size and shape of the two breasts that need to be corrected. Adjustment of the nipple and areola may also be necessary to create a natural, proportionate appearance. Dr. Barrett will help you determine the right technique for your surgery.

Is Tuberous Breast Correction Right for You?

Women in generally good health with any of the following concerns may be good candidates for tuberous breast correction:

  • Breasts with a conical rather than a round shape
  • Narrow or constricted breast base
  • The top half of the breast is flat
  • Breasts have significant sagging or drooping
  • An unusually wide spacing between breasts
  • Enlarged, puffy, areola
  • A substantial difference between the breasts regarding size, shape or positioning

You might notice symptoms in just one breast or both at the same time. Plastic surgery can be a solution for either situation as it restores symmetry while enhancing the shape and appearance.

Choosing Your Plastic Surgeon

Tuberous breasts may not cause significant medical concern, but the psychological toll can decide to move forward with correction somewhat challenging. It is crucial to select a plastic surgeon that will take sufficient time with you and understand your anatomy so that you feel comfortable with surgery and the results you hope to achieve. It is also vital that the surgeon you choose has extensive experience in the area of breast correction, rather than merely breast enhancement, as a treatment for tuberous breasts can be much more complicated than just enlarging or lifting the breasts. Dr. Barrett has the expertise to provide you with natural, beautiful solutions while offering a standard of care that will create a positive experience throughout.

Procedure Overview

Dr. Barrett will likely perform your surgery under general anesthesia, although local anesthesia with sedation is also possible for some patients. He will create an incision in the affected breast to allow for the insertion of the breast implant, taking care to locate the incision in the natural creases of the skin to minimize visible scarring after your procedure. If there is sufficient space for the implant, it will be put into the breast pocket at this time. If not, an expander will be set to create the space needed for the implant in the following months. Dr. Barrett may address both breasts during surgery or just the affected breast, as long as surgery on one will bring symmetry and balance to both.

The timing for tuberous breast correction will vary, depending on the amount of correction needed. Once Dr. Barrett has completed the procedure, he will suture incisions closed, using a layered technique that reduces tension on the skin as it heals for a cleaner, less noticeable scar. You will be able to return home a few hours after your surgery is over.

After Tuberous Breast Correction

After surgery, patients will see their results appear gradually as healing occurs and as swelling and bruising subside. It could take several months for the complete surgery results to be realized. Common side effects of the procedure include mild bruising, swelling and some soreness in the treated area. Compression garments or elastic bandages can be used to help reduce these symptoms while healing takes place. Dr. Barrett will also prescribe pain medication and provide you with particular instruction on how to care for your incisions and minimize any potential complications after the procedure.

As a general note, patients usually return to work and other activities within a few days. Strenuous activities such as exercise should be avoided for a few weeks to give the breasts ample time to heal. Dr. Barrett will be seeing you in his office once a week for a few weeks to monitor your recovery process and address any potential issues as they arise.

The Art of Symmetry and Balance

Tuberous breasts can be a problematic issue for a woman, affecting her appearance, the way her clothing fits and most of all, her self-esteem. Surgical correction offers beautiful, long-lasting results that can restore a woman’s confidence in her body. To learn more about your options for correcting tubular breasts, contact Barrett Plastic Surgery today at 310-598-2648.

The information about tubular breast deformity was reviewed by Dr. Daniel Barrett. If you have any questions, please don’t hesitate to contact us using our contact form below.


Case #6423

Female, 21 yo, Caucasian
Bilateral silicone breast augmentation, tubular release, with circumareolar mastopexy
Bilateral Mentor Moderate Profile Plus Smooth Implants
Right Size: 450cc
Left Size: 425cc


Tubular Breast Deformity with 375cc silicone implants.


Tubular Breast Deformity correction

375cc silicone breast implants on both sides

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