Implants can help add volume and improve symmetry, particularly in cases where one breast is smaller or underdeveloped.
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.
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.
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.
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.
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.
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.
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.
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.
Implants can help add volume and improve symmetry, particularly in cases where one breast is smaller or underdeveloped.
For severe tuberous breast cases, tissue expansion may be required to gradually stretch the skin before placing an implant.
Many patients with tuberous breasts have large or puffy areolas. Surgery can reshape and reduce them for a more proportionate look.
Fat grafting can be used to subtly enhance breast shape and improve asymmetry using the patient’s own fat.
In tuberous breast correction, the tight breast tissue is released internally to allow for a more natural breast shape.
In some cases, a breast lift can help reposition and reshape the breasts to create a more even appearance.
2-3 hours
1-2 weeks
Day Case
2-3 days
1-2 weeks
After 2 days
2-4 weeks
6-8 weeks
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.
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.
You’ll receive a pre-surgery checklist, which may include stopping certain medications, maintaining a healthy lifestyle, and avoiding smoking to optimise healing.
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.
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.
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 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.
While perfect symmetry is not always achievable, surgery can significantly improve balance and create a much more proportionate appearance.
Not always. Some cases can be corrected using tissue release techniques or fat transfer, but implants are often used for optimal shape and volume.
Incisions are placed as discreetly as possible, and scars typically fade over time. Scar management treatments can further minimise their appearance.
It depends on the technique used. Some procedures may affect milk ducts, but many patients retain the ability to breastfeed.
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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