What Is a Tuberous Breast Deformity and How Is It Assessed?

A tuberous breast is a developmental difference that appears as breast tissue develops during puberty and affects the shape of the breast. It is also called a “tubular breast”. Mild forms often go unnoticed, while more marked forms can make a person feel self-conscious. In this article we explain in general terms what a tuberous breast is and how it is assessed.

How is a tuberous breast recognised?

In a tuberous breast the base of the breast may be narrow and the tissue has not developed sufficiently downwards and outwards. Common features include:

• a breast that looks elongated, narrow or conical rather than round,
• a fold under the breast that sits higher than expected,
• an enlarged areola (the darker area around the nipple) that looks puffy and protruding,
• a clear difference in size or shape between the breasts.

Not everyone has all of these features, and the degree varies. A tuberous breast is often present on both sides but may be more pronounced on one, which is why it is also one of the causes of breast asymmetry.

Is it a health problem?

A tuberous breast is generally not a disease but a developmental difference in breast shape. However, any newly appearing change in shape, lump or asymmetry may have other causes and should be medically assessed first. Questions about breastfeeding are also best discussed with your physician at the consultation.

How are correction options assessed?

Correction is planned according to the degree of the deformity and often involves more than one step. Approaches that may be considered include reshaping the breast tissue to widen a narrow base, lowering the breast fold to a more suitable level, reducing the areola, and using an implant or fat transfer depending on volume needs. In some cases the result may be achieved in more than one stage. Perfect symmetry cannot be promised; the aim is a more balanced appearance suited to the individual.

Frequently Asked Questions

Can a tuberous breast be corrected with an implant alone?

Often an implant alone is not enough; the narrow base and the breast fold may also need to be addressed. The plan is made at the consultation according to the degree of the deformity.

Does a tuberous breast correct itself after puberty?

Once breast development is complete, a tuberous shape generally does not change on its own. It is important that breast development has finished before assessment.

Does a tuberous breast affect breastfeeding?

Because breast tissue may develop differently in some people, this varies individually. If you plan to breastfeed, be sure to mention it at your consultation.

For more information, visit our Breast augmentation page and our breast asymmetry article, and reach us via our contact page.

This article is for informational purposes only; a medical examination by a physician is required for diagnosis and treatment.