Tuberous breasts (also known as tubular breasts or constricted breast deformity) is a common congenital breast deformity that occurs in both men and women. While the exact cause is not known, plastic surgeons frequently commonly correct tuberous breasts through a combination of breast augmentation and breast lifts.

Women with tubular breasts present to plastic surgeons demonstrating many of the same anatomic features: small and tight breasts, an abnormally narrow breast base, large areolas that are puffy and protrude, with tight breast skin below the nipple. This lower pole or base constriction results in poorly defined inframammary fold, sagging or ptosis, as well as a bulging or herniated areolar complex appearance.

Significant improvements in both size and shape be accomplished through placement of either saline or silicone breast implants. After breast implant surgery, your breasts can be will appear more “shapely” and “full”. The result is an improvement in a woman’s sense of self-esteem and self-image.

During your consultation with Dr. Hoefflin, he will assist you in choosing between the various types and shapes of both saline and silicone gel breast implants. Customized literature that discusses the breast enhancement procedure will be provided. Before and after photographs of similar tuberous breast correction patients will be reviewed.


Dr. Hoefflin performs tuberous breast corrections as an outpatient procedure under general anesthesia or deep intravenous sedation, as administered by a board-certified anesthesiologist. The procedure generally takes 2 hours. All operations are performed in fully credentialed and state-of-the-art surgical facilities.


The breasts are enlarged by placing soft breast implants though the lower edge of the areola (periareolar) or around the areolar (circumferential). Internal incisions create space for the breast implants to settle into a more natural position. Small incisions are used, thus avoiding the larger incisions associated with breast lifts.


Dr. Hoefflin utilizes the specialized “dual-plane” breast augmentation technique, in which a portion of the breast implant is placed above the pectoral muscle, and a portion beneath the muscle. The result is a more natural and youthful appearance with long-lasting results. In addition, this procedure rounds out the appearance of the inframammary fold, creating a more natural appearance.


Our patients are surprisingly free of discomfort due to the long-acting local anesthetic injections and nerve blocks. Pain after surgery is unusual. Any discomfort is easily controlled with oral pain medication. Small and meticulously placed self-absorbing sutures are usually gone within seven days.

Most patients tell us they feel better than expected following their breast augmentation surgery and are able to return to work and social activities within one week. Light exercise can be resumed at two weeks. Final results can be appreciated anywhere from 6 weeks to 3 months after surgery.

Read more about Breast Implant Exercises


When performed by a qualified plastic surgeon, the risk of serious problems after a Los Angeles tuberous breast correction are rare. Most complications are minor, temporary, and can be easily resolved with conservative treatment and time. Specific risks and the suitability of tubular breast procedure for a given individual can be determined at the time of consultation. You can reduce your risk of complications by closely following your surgeon’s instructions both before and after surgery.


Tuberous Breast FAQ’S



Above (3 sets): Correction of tuberous breast deformity using 420cc smooth round saline implant, via periareolar incision only. “After” photos were taken 8 weeks after surgery.

Above (3 sets): Correction of tuberous breast deformity and revision breast augmentation/mastopexy using Allergan/Natrelle style 15 (Moderate Profile), 339cc silicone gel implant, peri-areolar mastopexy incision.

Above (3 sets): Correction of tuberous breast deformity and revision breast augmentation/mastopexy using Allergan/Natrelle style 15 (Moderate Profile), 339cc silicone gel implant, using circumareolar mastopexy incision.

Above (3 sets): Correction of tuberous breast deformity and revision breast augmentation using Mentor 400cc (Moderate Profile) saline implants, using circumareolar incisions.

Above (2 sets): Correction of tuberous breast deformity using Allergan/Natrelle style 15 (Moderate Profile), 421 cc silicone gel implant, using periareolar incision only.

Above (3 sets): Correction of Beverly Hills tuberous breast deformity using 421 cc moderate profile silicone gel implant. “Benelli” Mastopexy or periareolar incision.

These before & after photographs are patients of Los Angeles plastic surgeon Dr. Hoefflin, who have given permission to have their photos published. They are for illustrative purposes only. While these photos depict actual patients, they are not a guarantee of results. Individual results for the Los Angeles and Beverly Hills tuberous breast patients may vary.