Breast Cosmetic

Tuberous Breast & Breast Asymmetry

Tuberous Breast & Breast Asymmetry Surgery

If you’re unhappy with the way your breasts look, you’re not alone—and I want you to know there are safe, effective options to help. Differences in the size, shape, or positioning of your breasts can have a real impact on your self-confidence and sense of femininity. For many women, even subtle asymmetry or an unusual shape can lead to feeling self-conscious in fitted clothes, swimwear, or intimate settings.

Whether you’re dealing with a condition like tuberous breasts, or simply have one breast that’s noticeably different from the other, there are tailored surgical solutions that can restore balance and help you feel more comfortable and confident in your body.

What is Tuberous Breast Surgery & Breast Asymmetry Surgery?

Tuberous breast surgery and breast asymmetry correction surgery are procedures designed to reshape and rebalance the breasts for a more natural, symmetrical appearance.

Tuberous breasts—sometimes called tubular breasts—are a congenital condition where the breasts don’t develop normally during puberty. They may appear narrow, underdeveloped, or droopy, with a large, puffy areola and a constricted base.

Breast asymmetry refers to a noticeable difference between the two breasts—whether in size, shape, position, or all three. While minor differences are perfectly normal, more significant asymmetry can affect clothing choices and body confidence.

Both conditions can be corrected with highly customised surgery, often combining techniques such as tissue reshaping, implants, areola repositioning, or breast lifts—depending on your individual needs.

Why You Might Need Tuberous Breast Surgery

Tuberous breasts can vary in severity but are usually characterised by:

  • A constricted base or narrow breast shape

  • Enlarged or protruding areolas

  • Breast tissue that appears droopy or underdeveloped

  • A wide gap between the breasts

If these features are affecting how you feel about your body, surgery can reshape the breast tissue, correct the areola size and position, and often add volume with implants for a fuller, more natural contour.

Why You Might Need Breast Asymmetry Surgery

Breast asymmetry can be the result of natural development, hormonal changes, weight fluctuations, or previous surgery. You might consider corrective surgery if:

  • One breast is significantly larger or smaller than the other

  • There’s a visible difference in shape or position

  • You struggle to find bras or swimwear that fit properly

  • You feel unbalanced or self-conscious

Surgery might involve reducing the larger breast, augmenting the smaller one, or adjusting the shape and lift of both to create a more even appearance.

What to Expect When You Have Tuberous Breast or Breast Asymmetry Surgery

Our first step will be a detailed consultation, where I’ll examine your breasts, discuss your goals, and explain what’s realistically achievable. I’ll create a bespoke surgical plan tailored to your body, whether that includes reshaping, implants, lifting, or a combination.

Surgery is performed under general anaesthetic and usually takes 2 to 3 hours. You’ll normally go home the same day or after an overnight stay, depending on the complexity.

Every woman’s body is different, and these procedures are highly individualised. My goal is always to give you natural, symmetrical results that suit your shape and make you feel confident.

What Are the Risks of Surgery?

As with any surgery, there are potential risks to be aware of. These can include:

  • Infection

  • Bleeding

  • Scarring

  • Asymmetry or uneven results

  • Changes in nipple or breast sensation

  • Implant-related complications (if used)

We’ll go through all risks together during your consultation so you feel fully informed. I use advanced techniques and take every precaution to minimise complications and support a smooth recovery.

Tuberous Breast Surgery Recovery

Most women need about 1 to 2 weeks off work to recover from tuberous breast correction. You’ll wear a surgical bra, avoid strenuous activity for 4 to 6 weeks, and follow specific aftercare instructions. Swelling and bruising are normal in the early days and gradually subside.

You’ll start to see the true shape of your new breasts after a few weeks, with final results continuing to settle over a few months.

Breast Asymmetry Surgery Recovery

Recovery from breast asymmetry correction depends on the specific procedures performed. As with other breast surgeries, you’ll need to rest for at least a week, wear a supportive bra, and avoid high-impact activities while you heal.

Follow-up appointments are essential to monitor your progress and ensure your results are as symmetrical and natural as possible. Most patients feel an immediate boost in confidence once the initial recovery phase is complete.

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Tuberous Breast & Breast Asymmetry Options

Breast Implant Augmentation

Implants can help add volume and improve symmetry, particularly in cases where one breast is smaller or underdeveloped.

Tissue Expansion

For severe tuberous breast cases, tissue expansion may be required to gradually stretch the skin before placing an implant.

Areola Reshaping & Reduction

Many patients with tuberous breasts have large or puffy areolas. Surgery can reshape and reduce them for a more proportionate look.

Fat Transfer

Fat grafting can be used to subtly enhance breast shape and improve asymmetry using the patient’s own fat.

Internal Release of Constricted Tissue

In tuberous breast correction, the tight breast tissue is released internally to allow for a more natural breast shape.

Breast Lift (Mastopexy) for Symmetry

In some cases, a breast lift can help reposition and reshape the breasts to create a more even appearance.

At a Glance

Surgery Time

2-3 hours

Time off work

1-2 weeks

Hospital Stay

Day Case

Reasonable Mobility

2-3 days

Driving

1-2 weeks

Shower

After 2 days

Sleeping on back

2-4 weeks

Full Recovery

6-8 weeks

What To Expect

Understanding the process can make your journey smoother. Here’s a step-by-step guide on what to expect before, during, and after the procedure.

Here’s a breakdown of the procedure

1. The consultation

Dr. Guirgis Awad will assess your breast shape, size, and skin elasticity, discussing the best approach for your unique needs. Options such as implants, fat transfer, and tissue release will be explored.

2. Leading up to the procedure

You’ll receive a pre-surgery checklist, which may include stopping certain medications, maintaining a healthy lifestyle, and avoiding smoking to optimise healing.

3. On the day

The surgery is performed under general anaesthetic and usually takes 2-3 hours. Once complete, you’ll be monitored before being discharged the same day or after an overnight stay.

4. Treatment recovery

Some swelling and discomfort are normal but manageable with pain relief. A supportive post-surgical bra is recommended, and most patients return to light activities within a few days. Full recovery takes around 6-8 weeks.

Common Tuberous Breast & Breast Asymmetry Questions

If you’re considering this procedure, you probably have some questions. Here are six of the most common questions and answers to help guide you.

Tuberous Breast & Breast Asymmetry FAQs

How do I know if I have tuberous breasts?

Tuberous breasts have a distinct shape, often appearing small, narrow, and constricted at the base, with a higher than normal breast fold and prominent areolas. A consultation with Dr. Awad can confirm the diagnosis.

Can breast asymmetry be completely corrected?

While perfect symmetry is not always achievable, surgery can significantly improve balance and create a much more proportionate appearance.

Will I need implants to correct tuberous breasts?

Not always. Some cases can be corrected using tissue release techniques or fat transfer, but implants are often used for optimal shape and volume.

Will my scars be noticeable?

Incisions are placed as discreetly as possible, and scars typically fade over time. Scar management treatments can further minimise their appearance.

Can I breastfeed after this surgery?

It depends on the technique used. Some procedures may affect milk ducts, but many patients retain the ability to breastfeed.

How long do the results last?

The results of tuberous breast and breast asymmetry surgery are long-lasting, but factors such as ageing, weight fluctuations, and pregnancy can affect breast shape over time.

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