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Dr. Beverly Friedlander

Tuberous Breast

Breasts come in all shapes and sizes. However, some women may notice that either one or both breasts are significantly asymmetrical and misshapen. Tuberous breasts, or constricted breasts, is a condition characterized by breasts that appear elongated in shape or have an abnormally large and protruding areola. This not only affects the appearance of a woman’s bust, but it can also have a profound effect on her self-esteem. Fortunately, Dr. Friedlander offers various surgical treatments to correct tuberous breasts to help women look and feel beautiful.

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What are Tuberous Breasts?

Breasts do not come in one make or model. They may be large, small or in between in size. They may be two different sizes. Or they may be different shapes. Regardless, they are normal. All tuberous or constricted breasts have two things in common. They are vertically deficient, meaning that there is less breast tissue inferiorly, and the inframammary crease begins higher and more laterally, meaning that there is less breast tissue centrally creating what appears to be a wide gap between the breasts. The cause of this developmental problem is unknown. There are bands which develop in utero that restrict the expansion of the breast tissue, distorting its shape. As the severity increases, the breast tissue is forced centrally beneath the areola creating a tubular appearance and puffy enlarged areola that can cause the breasts to appear underdeveloped.

Tuberous breasts range from a small tight breast to a tubular-shaped breast that looks as though it is hanging off the chest. Sometimes one breast can be located higher on the chest than the other, making a person’s frame appear unbalanced. Most cases of tubular breasts are mild and go undiagnosed.

Am I a candidate for Tuberous Breast surgery?

While tuberous breasts are more noticeable on some women, most patients may not realize their breasts are constricted until they visit a highly qualified plastic surgeon. You may be an ideal candidate for treatment of your tuberous breasts if you struggle with one or more of the following issues:

  • Sagging, asymmetrical breasts
  • Your breast fold (crease) is higher than normal
  • Minimal tissue in the lower breast pole
  • Enlarged and puffy areola(s)
  • An unusually wide space between the breasts
  • Your breast has a narrow base at the chest wall

Danielle talks about her treatment for her Tuberous Breasts with Dr Bev

What is the treatment for Tuberous (Constricted) Breasts?

Your tuberous breast treatment will vary depending on the severity of your condition. Dr. Friedlander will examine your enlarged areola(s), fold position, the location of breast tissue, and degree of sagging to determine which techniques will best address your concerns. All cases of tuberous breasts will require a delicate balance of reshaping the treated area and breast augmentation. On occasion, fat grafting may also be recommended to enhance your results.

Mild Constriction:

Most cases of tuberous breasts are minor and involve undergoing breast augmentation using breast implants to enhance the size and shape of the bust. This approach also requires a redistribution of volume with a release of the constricting bands that are interfering with breast expansion. This adds fullness to the lower half of the breast.

Moderate-to-Severe Constriction:

Moderate-to-severe cases of tuberous breasts require a periareolar mastopexy with an unfolding of the existing breast tissue, reduction of the areola, release of the constricting bands, and enlargement of the breasts. In severe cases, a tight skin envelope may limit the amount of augmentation that is possible.

Before and After Photo

Before Patient Photo After Patient Photo

Tuberous/Constricted Breasts with marked Asymmetry
Corrected with Augmentation on the right and Periareolar Lift on the left. Implants used were a 390CC Saline on L inflated to 405CC and 420CC Saline on R inflated to 450CC.
Age: 36
Height: 5’5
Weight: 145lbs
Cup Size Before: 34B
Cup Size After: 34D
* Individual results may vary.

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What will the recovery be like?

Following your procedure, you may have swelling and bruising. However, these side effects should resolve after a few days. Dr. Friedlander will ask you to wear a special sports bra to minimize swelling and support your new contours. Make sure to avoid all strenuous activities and exercise for at least four to six weeks. You will be able to return to work one week after your surgery.

What can I expect after surgery?

The healing process is the same for all types of breast surgeries. You will see an immediate improvement. There is swelling which takes time to resolve, and the implants will settle into their final position over time. The difference with surgery for the tuberous breast, is that we are not only increasing the size of the breast, but we are improving the shape, by adding fullness to the lower pole, where it is deficient. The long-lasting results that are achieved will boost not only your appearance but also your confidence and self-esteem.

Schedule a Tuberous Breast surgery consultation

If you are interested finding out more about breast augmentation with correction of a constricted tuberous deformity and would like to find out if you are a good candidate, please contact our office in New Jersey at 973-524-7124 to schedule a consultation.


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Beverly Friedlander MD
636 Morris Turnpike, Suite 1A
Short Hills, New Jersey 07078

Phone: (973) 524-7124

Fax: (973) 912-8070

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