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Tuberous Breasts Newport Beach


Tuberous Breasts have been labeled with a variety of names and conditions. These include the following: Tubular Breasts, Constricted Breasts, Puffy Nipples, Snoopy Breasts, and Conical Breasts

What is a Tuberous Breast?

This breast condition is a developmental problem of the breast. It may be characterized by a variety of appearances generally seen at the time of puberty. There may be breast underdevelopment of the breast with little or no breast tissue. There may be deficiency of breast skin. The breast may appear narrow, tubular, long, conical or droopy. These contours have resulted in the use of unattractive names such as Tubular Breasts, or Snoopy Breasts.

Frequently, the areola (nipple) is often herniated forward creating a ‘Puffy Nipple’, or dome shape to the areola. The areola may be excessively large. Another unkind urban term is ‘Bologna Breast’, so called because the woman’s areolas are so large, that they take up almost the entire surface area of the woman’s breast.
The color of the areola may be colored the same shade as bologna.

Often, the lower part or lower pole of the breast is deficient (see severity) adding to Breast Asymmetry. The breasts are often widely displaced. The condition may be on one side (unilateral) or both (bilateral) and is often uneven between the two sides.


TBD may be divided into types depending on the severity:

Type l affects the lower inner quadrant of the breast
Type ll (grade 2) affects the lower breast , inner and outer
Type lll (grade 3) affects the whole breast

What are the Medical Problems Associated with Constricted Breasts?

The greatest medical problem is psychological. Numerous articles have appeared in magazines and newspapers
The psychosocial improvement with surgery can be enormous even when the results lead to mild improvement. Complete correction is not always possible
This breast problem takes a tremendous toll on a young woman’s self –esteem.
The condition may affect the ability to breast feed is the breast glands are not adequately developed, but subsequent surgery can also make this problem more difficult.


Because there is a wide range of appearances, from mild to severe, the surgical treatment for Tuberous Breast Deformity or TBD must address the following elements for a successful result :

  • Breast Base Grade: l,ll, or lll
  • Asymmetry left and right
  • Skin envelope
  • Areola size, shape, herniation, and position
  • Breast volume
  • Ptosis (drooping)
  • Breast fold position and size.

Mild forms of TBD can be undiagnosed often leading to incorrect or incomplete surgery. The surgery must address all of the anatomical problems including: breast fold malposition, constricted or narrow breast base. Surgical procedures may include the following:

  • Implant alone
  • Type and shape of implant
  • One or more stages
  • The use of tissue expansion and implants
  • Pocket placement
  • Placement of incisions
  • Breast lift and type
  • Correction of the breast base and breast fold,
  • Correction of the areola.
  • The use of fat grafting or natural breast enhancement to help shape the breast with or without implants

Choosing Your Breast Surgeon

In considering your Plastic Surgeon to help correct your Tuberous Breast, choose someone with a great deal of breast surgery experience of all types. This surgery is multifaceted requiring a Board Certified Plastic Surgeon well trained in all types of cosmetic and reconstructive breast surgery. Dr. Horowitz has an aesthetic vision and detailed eye combined with the finesse and skill to work with you to achieve the improvements you desire. It is critical to analyze the shape and contours of both breasts and understand beautiful, natural aesthetics of the breast and body. A passion for detail and the ability to form a warm and caring bond with his patients is essential to help treat this deeply emotional medical condition and improve your sense of well being and self-esteem which can completely transformative.

Intended Results

The ultimate goal is to achieve improved breast shape and symmetry as best as is possible given the starting anatomy. Realistic goals and expectations are important, as in all surgery. It is common that more than one operation is required and the breast shape will change even during the first few months after surgery.


This will depend on the procedures used and can be found in the sections on Breast Augmentation, Breast Lift, and Breast Reduction.


Although this is technically a reconstructive operation by definition, many insurance companies will unfortunately and unreasonably have specific exclusions in their guidelines.