Home » Plastic Surgery Procedures » Tubular Breast Correction Surgery

Looking “Normal” Has Never Felt So Good

A woman’s breasts, for some, are one of the defining features of her femininity. When breast deformities appear, leaving your breasts looking long, narrow, or pointed, the social and emotional toll it takes can be costly. Whether you are 18 and want to feel confident in your body or you are in your 50s and are just finding out you can do something about the appearance of your breasts, tubular breast correction surgery in Atlanta, GA can help you finally feel the body confidence you deserve to feel. Feeling comfortable in your own body shouldn’t be too much to ask for.

At Dr. Rudderman Plastic Surgery and Medical Spa, Dr. Randy Rudderman and our compassionate team offer safe, predictable surgical options to create a natural, balanced breast contour that enhances your natural form, restores your confidence, and allows you to live your life without disruption.

Are you interested in learning how tubular breast correction can enhance your overall physique and boost your confidence? Contact us at 678-566-7200 or request your consultation to begin your plastic surgery journey today! We are located in Alpharetta and Atlanta, GA. We are proud to accommodate patients from around the world. Expert care is available to you no matter where you call home.

What Are Tubular Breasts?

Tubular breasts are typically characterized by a longer and more narrow shape with a nipple and areola area that may look pointed, puffy, pointing downward, or too close to the breast crease. Tubular breasts can be uncomfortable and disruptive, leaving women and teens feeling embarrassed and unhappy with their appearance. Most women who develop tubular breasts also notice significant asymmetry in shape, size, and appearance.

Tubular breast syndrome usually develops during puberty and does not improve over time; instead, the condition may become more noticeable after pregnancy, breastfeeding, or weight change. Tubular breasts may contribute to clothing that doesn’t look good, difficulty wearing swimwear, and bras that don’t fit right and are uncomfortable. Some young women will notice their breasts have developed differently and feel embarrassed or even receive peer ridicule. Tubular breast is not considered an inherited condition, and mothers rarely have the condition. Sometimes, your pediatrician may recognize the condition and refer you to a plastic surgeon for an evaluation. More often, pediatricians will say you will grow out of the asymmetry, which rarely happens. Whatever your path looked like before getting to this point, you will find a safe, compassionate space here. We see your concerns and vulnerability and treat them with the care and respect they deserve.

Tubular breasts typically have one or more of the following features:

  • Small
  • Asymmetric
  • Long and narrow breast base
  • Tight and constricted, meaning the base of the breast where it attaches to your chest is similar in size to the end
  • The nipple points downward or is too close to the breast crease
  • A puffy or disproportionately large areola

Tubular breast correction surgery gives patients immediate relief from the physical and emotional discomfort that comes with the shape of their breasts. After surgery, women will have naturally balanced, contoured, and rounded breasts that complement their overall figure and enhance their daily life.

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Before and After Photos

A gallery of images to assist in finding the sample results you might be looking for in surgical, injectables, and med spa.

What Causes Tubular Breasts?

Tubular breast disorder is a congenital condition in which the breasts don’t develop normally. In essence, tight connective tissue obstructs the natural growth of breast tissue. You may have heard of this condition referred to by another name, including:

  • Tuberous breasts
  • Breast hypoplasia
  • Snoopy breasts
  • Insufficient glandular tissue (IGT)
  • Herniated areolar complex
  • Domed nipple
  • Constricted breast
  • Lower pole hypoplasia
  • Narrow-based breast

It is important to note that the exact cause of these abnormalities is unclear, but it is a benign condition that is not associated with health risk. Please visit our page about identifying tubular breast disorder for more information about what causes this condition.

Dr. Rudderman Plastic Surgeon in a headshot with a blue shirt and darker blue tie wearing glasses

What Does Dr. Rudderman Do That Allows for Better Potential Outcomes?

Tubular breast deformities are treated using a variety of surgical techniques. Success depends on awareness and assessment, then treatment of multiple factors, including release of the constricting fascia (tissue), glandular repositioning (breast redistribution), lower pole modification (expansion for tissue), and areolar revision.

What Technically Contributes to More Predictable Long-Term Results?

This operation is a congenital breast reconstruction, and augmentation alone is associated with a higher revision rate. Our approach includes critical evaluation of your anatomy, attention to detail matching the technical aspects of surgery to the specifics of clinical findings, and your desires for outcome.

Why Does the Approach to Treatment Matter?

Selection of the specific approach used requires experience, judgement, technical skill, and artistry. The choices made impact long-term shape, potential need for additional surgery, and both appearance stability and clinical and financial future risks. The goal is to select an approach that provides a higher probability of a predictable long-term outcome.

What Should I Expect During My Atlanta, GA Tubular Breast Surgery Consultation?

At Dr. Rudderman Plastic Surgery, we value collaboration and partnership. You should plan for your consultation to take at least one hour. During this time, you will meet with Dr. Rudderman and other members of our team to situate and integrate yourself into our practice. A partnership with Dr. Rudderman is a collaborative relationship with the entire team.

Our goal at every consultation is to meet you, learn about who you are, what lifestyle you lead, and your goals for not just surgery but the next phase of your life. Understanding the way your condition impacts your daily life, physically and emotionally, is an essential component of effective treatment planning. Once we have a complete picture of what you are looking for, we can tailor a treatment plan for long-term results and sustainable beauty.

During your consultation with Dr. Rudderman, you should expect:

  • A full exam of the breasts
  • A discussion of your goals, lifestyle, and desired outcome
  • A personalized surgical plan that may include a staged approach, which may include fat grafting or implants to ensure the most precise results
  • Education about your condition, treatment options, risks and benefits, recovery, and long-term expectations

Dr. Rudderman specializes in breast surgeries and understands the artistry and surgical complexity that they demand. His advanced technique and delicate, precision surgical skills achieve the most natural-looking results possible.

How Is My Condition Assessed?

An important first step in the treatment process is a careful examination to determine if your breast is “tubular” and to what degree. This means the evaluation of:

  • Symmetry
  • Skin volume
  • Breast volume
  • Nipple and areolar position
  • Crease position
  • Chest wall symmetry
  • Development history

Approaching this complex procedure requires careful attention to each factor contributing to your condition. In the end, his goal is to deliver a balanced, proportional result that ages naturally and improves your long-term quality of life.

How Are Tubular Breasts Corrected?

Tubular breasts correction surgery at Dr. Rudderman Plastic Surgery is a specialized breast lift. To achieve the most predictable long-term outcomes, he reshapes your natural breast tissue and releases constricted tissue to achieve a proportional, balanced, natural breast contour, often without adding an implant. Once you have fully healed and achieved a proper anatomical shape, you can decide if you want added volume. Most women are thrilled with their results after the initial reshaping.

The goal of tubular breast correction surgery is to make your breasts look normal, balanced, and proportional. The value of looking great, even just more normal, cannot be underestimated. Tubular breast correction surgery often includes:

  • Reshaping or redistributing breast tissue
  • Reducing and flattening enlarged areolas
  • Releasing the tight lower breast fold
  • Using breast lift techniques to improve contour and symmetry

For patients who desire more volume after they have healed from their initial surgery, Dr. Rudderman will discuss the addition of implants to achieve the desired contours. MOST tubular breasts can be dramatically improved WITHOUT the use of a breast implant. If this approach is used, it does not eliminate your option of adding a device for greater volume in the future. Fat grafting may be considered to address contour concerns and modest adjustment in volume in select situations.

How Do I Know Tubular Breast Correction Surgery in Atlanta, GA is Right for Me?

Generally, if you are healthy enough for surgery and have tubular breasts, you are a good candidate for corrective surgery. Scheduling a consultation is the best way to determine whether tubular breast surgery is right for you. Unlike some other cosmetic procedures, tubular breast correction surgery can often be performed on young women starting around mid-teenage, depending on their mental and physical readiness, and physiologic maturity.

Ideal corrective surgery candidates typically have one or more of the following concerns:

  • Long, cone-shaped, and/or tubular-shaped breasts
  • Nipple and areola area is puffy, prominent, and points downward
  • Breasts that never filled out correctly
  • Your breasts are not balanced, causing asymmetry
  • Nipples and areolas that look significantly different from each other
  • You don’t like your breasts because they don’t look normal in shape
  • Clothing doesn’t fit right due to irregular breast contour and balance
  • You feel self-conscious and embarrassed about your appearance

Can I See Dr. Rudderman’s Tubular Breast Before and After Results?

View our gallery to see Dr. Rudderman’s outstanding and natural-looking results of real patients’ tubular breast correction surgery before and after photos.

How Should I Prepare for Tubular Breast Correction Surgery?

Preparing for tubular breast correction surgery involves a few steps, but mostly, you should get excited about your upcoming transformation. In general, you should:

  • Prioritize nutrition: It can be helpful to prepare balanced, nutritious meals or arrange for a meal delivery service. During recovery, getting optimal nutrition is essential to ensure your body has everything it needs to heal.
  • Plan for help: You may need to arrange childcare, pet care, or help around the house during your immediate recovery. Plan for 3 to 4 days of help with children and household tasks.
  • Medical review: Dr. Rudderman may recommend running routine medical tests to ensure you are healthy enough for surgery. These tests may include routine blood tests, an EKG, or a mammogram.
  • Consider your medication: During your consultation, Dr. Rudderman will review your medications, vitamins, and supplements. You may need to discontinue anything that increases the risk of bleeding or bruising for 2 weeks before and after surgery, including fish oil, garlic, ginseng, vitamin E, Ibuprofen, or other anti-inflammatory medications.
  • Quit smoking: Nicotine use negatively impacts healing and can increase your risk of complications. Dr. Rudderman recommends that all patients discontinue nicotine use at least 4 weeks before and following surgery to help ensure optimal outcomes and the best possible recovery.
  • Focus on a healthy lifestyle: Maintaining a healthy lifestyle is one of the best things you can do to prepare for any surgery. Develop or continue a sustainable exercise routine that will support a stable weight, long-term health, and a higher probability of a smooth recovery.
  • Drink plenty of water: Staying hydrated is essential to your recovery. Drink plenty of water during the days leading up to your surgery to support recovery.
  • Get excited: Your breast surgery is an investment in your quality of life. Get excited about who you will be, what you will wear, and what you will get to do once you have fully recovered. Reclaiming your body and self-confidence is always something to be proud of. This is especially important for young women who are just coming into their own, exploring young adulthood, and defining for themselves what beauty looks and feels like. You should be proud of taking this step for yourself.

How Is Tubular Breast Correction Surgery in Alpharetta, GA Performed?

All breast procedures take place in a fully accredited surgical center with state-of-the-art technology, hospital-level safety standards, and an experienced medical team dedicated to your care. Additionally, Dr. Rudderman takes pride in performing every single aspect of your surgery himself. As you go into surgery, you can feel confident knowing you are being cared for by the most qualified professionals available at every step of the process.

  • 1. Day of Surgery Prep: On the day of your surgery, you will arrive at the surgical center and meet with Dr. Rudderman to review your treatment plan and ask any last-minute questions you may have. He will then mark your breasts for surgery, and you will meet with a board-certified anesthesiologist.
  • 2. Incisions: When you are sedated and prepped in the surgical suite, Dr. Rudderman will make the appropriate incisions, which may include around the areola and along the crease, and potentially vertically, to access the underlying breast tissue.
  • 3. Reshaping: Once he has access to the breast tissue, Dr. Rudderman will release the constricted tissue, reshape the breast mound with the nipple-areola complex (NAC) still attached to the central column of breast tissue, reposition the glandular tissue to add roundness to the bottom and width to the base of the breast, and reposition and reduce the size of the areola and nipple for a natural, balanced appearance.
  • 4. Incisions: After surgery is complete, Dr. Rudderman will close your incisions with sutures, apply a light surgical dressing, and fit you with a soft bra support your incisions and your new breasts. Dr. Rudderman’s delicate approach to tissue care and suturing helps promote optimal healing of the breast tissue and incisions.

Most tubular breast correction procedures take 1.5–2.5 hours and are performed on an outpatient basis. You may require drains for the first 24 to 48 hours after surgery.

The operation and artistry involved in breast reshaping procedures are specific to each woman. During your consultation, you will receive extensive education regarding your condition, your concerns, your options, your risks and benefits, and your probable outcome. The goal of every procedure is a safe surgery, excellent appearance, normal anatomic redistribution, and an outcome that lasts for years and ages appropriately.

What Should I Expect After Tubular Breast Correction Surgery?

Immediately after surgery, you will be wearing a surgical dressing and a bra. As you will have been put under anesthesia, you will need a responsible adult to drive you home and stay with you for at least 24 hours. In general, you can expect the following during your Atlanta tubular breast correction recovery:

Physical Recovery

  • You can expect mild swelling and some discomfort. Dr. Rudderman will prescribe pain medication for comfort management, but this should resolve on its own. After 24-48 hours, you should be able to manage discomfort with over-the-counter pain relievers like acetaminophen.
  • Swelling is generally mild and resolves on its own in 2-3 weeks.
  • Sutures are absorbable and do not need to be removed.
  • You will have a type of brown paper tape on the incisions to protect the area and help with minimal scar formation.
  • You may have a drain tube placed that needs to be checked several times a day. This drain is commonly removed in 24 hours during your first follow-up visit.

Return to Normal Activities

  • Most patients can return to desk work in 3-4 days. If your job requires physical activity, you may need to take more time off or request modified duties while you recover.
  • Women with children often can return to full childcare within reason in 3-4 days, including carpool and driving.
  • Avoid aerobic exercise for 3 weeks or until Dr. Rudderman has cleared you to do so. Most clients may begin more aggressive physical activity in 4 weeks, including yoga, tennis, swimming, boot camp, or Pilates. We will help guide your return to activity at each post-operative visit.

Post-Surgical Follow-up Visits

  • You will be seen in the office 24 hours post-surgery and given a more comfortable bra.
  • Regular follow-up appointments will be scheduled for:
    • 1 week post-op
    • 2 weeks later (3 weeks post-op)
    • 1 month later (7-8 weeks post-op)
    • 3 months later (6 months post-op)

Follow-up appointments are essential to ensure you’re healing as expected, you are provided with instructions, your questions are answered, your concerns are addressed, and you are satisfied with your natural, age-appropriate results.

When Will I See My Tubular Breast Correction Results in Alpharetta, GA?

Fortunately, you will be able to see immediate improvements in your breast appearance following surgery. As swelling and bruising dissipate over the next several months, you will begin to see your final breast shape.

Written and reviewed by:

This article was written by Dr. Randy Rudderman, who is board certified by the American Board of Plastic and Reconstructive Surgery (1994). He practices medicine at his offices in Alpharetta and Atlanta. Learn more about Dr. Rudderman, his medical training, and credentials.

Partner with Georgia’s Premier Plastic Surgeon, Dr. Randy Rudderman

Dr. Randy Rudderman is one of Atlanta and Alpharetta’s most trusted plastic surgeons. As an expert in complex breast procedures, he understands the complexities and artistry required to give his patients the balanced, natural-looking results they deserve. A partnership with Dr. Rudderman Plastic Surgery and Medical Spa is a partnership with a knowledgeable team of experts who are as committed to your quality of life as you are.

Learn about Tubular breast correction options near me by calling Dr. Rudderman at 678-566-7200 or request your consultation online to get started with your transformation. You are worth it.

Atlanta Tubular Breast Correction FAQs

Absolutely. This procedure is highly complex, and the impact it can have on a person’s social and emotional life is profound. Finding the right board-certified plastic surgeon for you is essential. Dr. Rudderman’s conservative approach that prioritizes natural anatomical results continues to draw in patients from around the world.

Looking good, or even “normal,” is worth the travel for many. To explore the available accommodations before scheduling your virtual and in-person consultations, please visit our out-of-town patients page. You are welcome here, no matter where home is for you.

Tubular breasts can vary in appearance, but common traits include:

  • Puffy or enlarged areolas (herniated areolas)
  • Cone-shaped or narrow breasts with a constricted base
  • Breasts that are different in size from one another
  • Tight skin between the nipple and breast fold
  • Breasts that look widely spaced on the chest
  • Flatness at the top of the breast
  • Nipples that look unusual in shape or projection

Tubular breasts usually become noticeable during puberty when one or both breasts look “different” or do not fully develop. Common concerns include:

  • “They look strange, lopsided, or misshapen.”
  • “My breasts look uneven or never filled in.”

At least 5 to 9% of women undergoing breast augmentation have some form of tubular breast. In reality, it may be more common. Many women think it is rare and do not seek treatment due to embarrassment, but it is a well-known and correctable condition. Tubular breasts cannot be corrected by diet, exercise, or lifestyle changes—they require surgery.

Women with tubular breasts often experience:

  • Low self-confidence in personal or social settings    
  • Difficulty finding bras or clothing that fit properly
  • Needing extra padding to mask asymmetry
  • Frustration with bathing suits or active wear

If you are not sure and think your breast looks different from your friends’ or your expectations, ask to see someone who is a specialist in treating breasts, and come in for a consultation. Tubular asymmetry is not uncommon and is treatable, usually with low risk and predictable success.

Patients notice an immediate improvement in shape and position after surgery. Over time, results continue to refine as swelling resolves. Benefits include:

  • Minimal, fading scars
  • More balanced, symmetrical breasts
  • Natural-looking shape and proportion
  • Improved confidence in clothing and swimwear

In many cases, yes. Dr. Rudderman’s surgical technique preserves the nipple’s connection to breast tissue, which helps maintain the anatomy to breastfeed. No one can accurately predict the ability to successfully breastfeed after a future pregnancy, with or without surgery.

Dr. Rudderman personally performs every tubular breast surgery. Unlike some practices that delegate portions of the procedure to assistants, Dr. Rudderman is the operating surgeon for all critical steps.

Surgery may involve a combined approach to address the areolae contour issues, the tightness of the lower breast, and the conical shape. These can be done with modified breast lift techniques coupled with techniques to reposition available breast tissue. When appropriate, additional volume can be addressed with the use of breast implant surgery options.

No. The incisional scars used for treatment by Dr. Rudderman are identical to those used in a variety of breast lift or augmentation operations, and no one but you will know what your breasts looked like before surgery. Nearly all women consider this issue very personal and will admit that when they come for a consultation, even their best friend and mother do not know about their issues, concerns, and appearance.

Only in the most severe cases are devices, such as tissue expanders, required to treat tubular breast.

Yes. All surgeries are performed in a fully accredited surgical facility with a board-certified anesthesiologist present. The environment is designed with the same safety standards as a hospital operating suite.

  • Most patients return to desk work in about 4 days
  • Discomfort is usually managed with pain medication, then Tylenol, within a few days
  • Aerobic exercise and strenuous activity are avoided for 3 weeks. Return to more active activity will begin at 3 to 4 weeks.
  • Follow-up visits ensure healing is on track and recovery is supported

You will need a responsible adult to drive you to your surgery, stay there, and then drive you home, and stay with you overnight after you have had surgery and anesthesia. We will advise you based on your operation, and especially if you have small children or pets. Your follow-up visit will usually be within 24 hours, and you will need someone to drive you to this appointment and back home.

Tubular breast correction is usually considered a cosmetic procedure, so it is not typically covered by insurance. Some exceptions may apply, so patients are encouraged to check with their provider.

Yes. Flexible financing options are available for all breast procedures performed by Dr. Rudderman