Menu Dr Scott Turner


Fat Grafting for Tuberous Breasts

  • Do you have Puffy nipples?
  • Unusual, Pointy Shaped Breasts?

You might have a condition called tuberous breast. Fortunately, it’s not something that you have to just live with for the rest of your life. From breast augmentation to areolar correction to fat grafting procedures, there are options for correcting tuberous breast.

What Are Tuberous Breasts?

There are a lot of women out there with a little secret. While we don’t often talk about it, a lot of women have a condition called tuberous or tubular breasts. While every woman has slightly mismatched breasts, women with tuberous breasts are dealing with a very obvious difference in the appearance of their breasts.

Tuberous breast deformity is a term that we used to describe several different issues. Droopy breasts, enlarged areolas, herniation of breast tissue through the nipple, malformation of the breast base and other problems are all part of what it means to have tuberous breasts.

Women with tuberous breasts typically notice the issue during puberty. As their breasts develop, the difference between their breasts’ size and shape becomes clear.

Types of Tuberous Breast – Three Grades

When a surgeon looks at tuberous breasts, they assess them into three grades.

Grade I
In grade I tuberous breast asymmetry, there is deficient breast tissue in the inferior and medial aspects of the breasts. This is the most common type and is frequently under diagnosed as the breast often looks small with a short or tight lower pole of the breast.

Grade II
In grade II tuberous breast asymmetry, there is more global deficiency in the breast tissue affecting primarily the lower half of the breast with a tight breast fold sitting much higher than normal. The areolar is often stretched or enlarged and points downwards.

Grade III
In grade III tuberous breast asymmetry, the entire breast is severely affected with the remaining breast tissue often herniating through the stretched and weakened areola tissue. This often creates the appearance that the patient has breast ptosis with women often seeking consultation for a breast lift procedure as they are unaware of their breast anomaly.

Like most medical issues, self-diagnosis isn’t the best solution. The only way to know your exact grade is to talk to a professional. When to you come to our Sydney or Newcastle clinic, Dr Turner will examine your breast and tell you what your grade level is.

Traditional Techniques to Treat Tuberous Breast

Tuberous breast asymmetry has traditionally been treated by the combination of a breast lift procedure to reshape the breast and breast augmentation surgery to increase breast volume.

The most common breast lift procedure used is a periareolar (benelli) breast lift technique. In this procedure, there is an incision around the areolar and is an excellent technique to lift and reduce the size of the areolar so that it’s centred over the breast mound. This also reduces herniate breast tissue and decreases the puffiness of the nipple.

In the majority of women undergoing tuberous breast asymmetry correction a breast augmentation is performed. Not only does the breast implant increase the overall breast volume, but it widens a constricted breast and add volume to the lower pole of the breast which is invariably deficient. To allow the breast implant to expand, a plastic surgeon will often perform glandular scoring cutting to release the internal contractures to allow the breast implant to expand the breast shape.

Limitations of Traditional Techniques for Tuberous Breast

The issue with using breast implants only to treat tuberous breasts is that they aren’t ideal for the lower and outer aspects breast area. These spots are covered by thin skin with no underlying breast tissue like a normal breast, which means that the breast implants are much more visible when used in these spots.

In the visible cleavage area, the breast implant can be placed under the chest muscle to minimise visibility of the edge of the breast implant, however this often limits the expansion of the medial breast and results in a wide cleavage. The placement under the muscle can also cause a permanent crease on the lower aspect of the breast if the natural breast isn’t fully expanded by the implant.

Another issue with tradition techniques is the use of glandular scoring. While it is a standard part of breast implants, it is a painful process that requires considerable recovery time. There is an increased risk of nerve damage to the nipple with a potential of sensation loss as well as bleeding and haematoma.

In an effort to reduce risk and find a less invasive solution, fat grafting is now being used as a solution to tuberous breasts.

What Is Fat Grafting?

Fat grafting is the process of taking fat from another part of the body and moving it to another area. This fat transfer increases breast volume and creates a natural look.

Fat grafting lets you gain one cup size without a breast implant. A fat transferring procedure can be done in conjunction with a breast implants as well. The process of doing fat grafting with breast implants is called composite breast augmentation or lipoimplant.

One incredible benefit of doing a fat transfer is that areas of your breast can be selectively thicken. Once the soft tissue is thickened, an implant can be placed above the muscle to create a natural look with enhanced cleavage. Composite breast augmentation eliminates the need to rely on glandular scoring, which is another major benefit.

In the past, fat grafting was done with the same old style technique and equipment used for liposuction. This procedure wasn’t ideal and has since been transformed. These day, fat grafting is less invasive than other options for breast asymmetry. At our Sydney clinic, we utilise the latest fat grafting techniques with the BodyJet Evo for a safe and simple solution.

When you have a fat transferring procedure done, fat is transferred to underneath your skin. The tight skin of tuberous breasts is spread out to create a natural looking curve. To get an in-depth view on breast asymmetry and fat grafting, check out our page on tuberous breast asymmetry.

Next Steps

Are you ready to take the first step in dealing with tuberous breasts?  Visit our clinic to have a consultation with Dr Turner.

It is a great opportunity to learn about all of your options and get a clear vision of what your breasts will look like after corrective surgery.


Popular Procedures

Clinic Locations

Northern Beaches
Eastern Suburbs
Call Us