Before & After Gallery



This 33 year old woman presents with bilateral breast ptosis, asymmetry and tuberous breast deformity. The surgical procedure consisted of bilateral circumareolar or Benelli mastopexy with bilateral subpectoral insertion of 325 cc Moderate Profile Plus silicone gel filled breast implants.


This 29 year old woman presents with small breasts (hypomastia) and a short distance from the nipple to the inframammary fold on both sides as well as a tuberous breast deformity with herniation of the breast glandular tissue through the areola. Her surgical procedure consisted of a crescent mastopexy with incision around the top of the areola, resection of glandular tissue and subpectoral insertion of 350 cc Moderate Profile Plus silicone gel filled implants. Her postoperative result is shown approximately six months after the surgical procedure.


This 32 year old woman presents with significant breast asymmetry with the right breasts being quite a bit larger than the left breast. The patient also has bilateral tuberous or tubular breast deformity. The treatment consisted of a right vertical mastopexy with subglandular augmentation mammaplasty and a left circumareolar mastopexy with augmentation. The patient is shown fairly early just four weeks after her surgical procedure with dramatic improvement in symmetry, shape and size of the breasts.


This 38 year old Hispanic woman presented with extremely ptotic and malformed breasts. She has severe tuberous breast deformity with herniation of the breast tissue through the periareolar tissues. Her corrective surgery consisted of bilateral circumareolar mastopexy and insertion of 250 cc silicone gel filled implants in the subglandular position. Her postoperative result is seen six months after surgery with nice improvement in the shape of the breasts and improvement in nipple areolar position.


This 34 year old woman had small, sagging breasts with an abnormal shape referred to as “tuberous” or “tubular” deformity. She had insertion of breast implants in the subpectoral position and bilateral periareolar (Benelli) mastopexy. Her result is shown just 14 days after the surgery, but she has excellent improvement in the contour of her breasts, better symmetry and improvement in the aesthetics of the nipple areolar complex.

Tuberous Breasts – From time to time, we see patients who have a condition known as “tuberous breasts” also called the “tubular breast deformity.” This is a congenital anomaly; the patient is born with this condition, although it often does not become manifest until adolescence is reached. The tuberous breast deformity can occur on one side (unilateral) or more commonly on both sides (bilateral). The tuberous breast has a very unique appearance. In most patients, the nipple areolar complex is extremely large in diameter, resulting in a very “spread out” appearance. The nipple and areola often appear “too large” for the breast mound.

The breast itself usually has an unusual configuration consisting of a “constricted base.” Instead of the breast having an aesthetically pleasing conical shape, there is tightness of the inframammary fold (sometimes a short distance from the nipple to the fold) and the breast tissue itself appears to be protruding out of the breast, through the dilated nipple areolar complex. Tuberous breast can manifest in a very mild form, or can be extreme, depending on each individual patient’s circumstances. Therefore, the treatment for tuberous breast deformity is customized to meet the specific anatomical needs of the particular patient.

Usually, tuberous breast is corrected by a combination of procedures: insertion of a breast implant and some type of circumareolar mastopexy (breast and nipple uplift to reshape and reconfigure the nipple and reduce the diameter of the areola). In certain patients, modifications of the soft tissue skin envelope are also performed to give the breast a more pleasing aesthetic appearance.

Over the past 38 years, Dr. Handel has treated dozens of patients with tuberous breast deformity in Beverly Hills & Los Angeles, CA; the overwhelming majority of patients has achieved significant improvement and is happy with the results of the surgery. Again, it is necessary to place scars on the breast to correct tuberous breast deformity but patients typically find this to be a “worthwhile trade-off”. The presence of the scars does not bother them because the breasts have a much more pleasant aesthetic appearance, both in and out of clothing.