Tuberous Breast (or Constricted  Breasts)

Abnormal breast development is relatively common in teenage girls. This common development varies and ranging from minor differences between the breasts, to major shape abnormalities. The commonest of these is known as “constricted” or “tuberous” breast.

This condition is genetic. It is characterised by a tightened, narrow base to your breast and a high breast crease, causing the breasts to look elongated.

Tuberous breast is often narrow on the chest with a long, thin, tube-like shape.

The areolar (the pigmented circle around the nipple) may be enlarged in diameter, and the breast may be droopy. Often the two breasts are affected differently, with one commonly much larger and droopier than the other.

Compare to normal shaped breast, constricted breasts show significant contour  and shape abnormality.

In this condition:

Women with this condition are often self-conscious and embarrassed for anyone to see their breasts. Correcting this breast deformity not only improves the appearance of your breasts, but it can also provide a boost to self-esteem and confidence.

How is tuberous breast  corrected?

Dramatic improvements in the shape, size and symmetry of the breasts are usually possible. We will carefully analyse the deformity, and with detailed discussions devise a surgical plan to give the best possible and desired outcome. This will depend on the desired final breast size, and the pre-existing breast size, shape and asymmetry.

For the affected breast, the treatment typically involves enlarging and widening the base of the breast, with a breast implant, lowering the inframammary crease, and reducing the bulging of the nipple and areola and doing a breast lift , if required.

With constricted/tuberous breast, there are often significant differences between the two breasts, and a major aim of surgery is to achieve better symmetry. This usually requires different surgery on each breast, and may involve combinations of various procedures, including:

Asymmetrical breast enlargement – breast augmentation on one side only, or both sides using different sized breast implants

Breast reduction to make the bigger breast smaller to match the smaller breast

Breast lift (“mastopexy”) to correct droopy breasts and place the nipples at the correct position

Areolar size reduction

We will discuss your options and recommend the best procedure for you to correct your breast asymmetry during your preoperative consultations. Careful planning is always necessary.