Do I have a tubular breast?  

What does a tubular breast look like?

These questions are asked very often both to me as a specialist and on the Internet. In this blog we would like to list the criteria of a tubular breast and show how you can correct it.

The following four criteria result in a tubular breast:

  • large areola
  • narrow breast base
  • the lower half of the chest is poorly developed
  • tubular and mostly drooping shape
Tubuläre Brust

tubular breast

Why do I have a tubular breast?

The tubular breast is a congenital malformation that only shows up during puberty. The young women see that their breasts are “not beautiful and round”, but pointy and drooping, often asymmetrical. But you are not alone in this: around 30% of all women are affected by this malformation. A sagging breast is not a tubular breast. A sagging breast occurs due to a lack of volume with increasing age, a tubular breast is a congenital malformation.

How is a tubular breast formed?

The reason is sticky fasciae and hardened connective tissue structures. The growing gland cannot fight this hardening during puberty. It goes the path of least resistance – the result is a tubular instead of a round glandular body.

Is my tubular breast very pronounced?

In some women the tubular breast is more pronounced, in others it is weaker. Depending on the number of affected areas and the degree of underdevelopment, a distinction is made between 3 degrees of severity.

Can you correct a tubular breast?

Yes, this procedure is common. I have a lot of patients whose tubular breasts I have already corrected. In advance, we do a 3D scan that shows exactly what the breast will look like after the procedure. The procedure takes place in a day clinic under general anesthesia. Most patients can go home on the same day. The operation itself takes about 1.5 hours. The shape of the tubular breast is usually corrected by making an incision around the areola (= periareolar breast lift) – in rare cases an incision in the underbust crease or a T-cut is necessary. After the breast has been reshaped, breast augmentation can be performed with or without implants, or the symmetry of the breast can be adjusted naturally using autologous fat. In some cases you may have to use different techniques depending on the side.

Tubuläre Brust nach Operation

Tubular breast after an operation by Dr. Rolf Bartsch

How long does it take to get a nice end result?

After the operation, the downtime is about 3-7 days. During the first check-up, the plaster is changed, we check the fit of the support bra and discuss any remaining questions. We remove the sutures one week after the operation. After 6 weeks you no longer need a support bra and you are fully operational. Your chest is naturally round and symmetrical in shape.

Am I ill, if I have a tubular breast?

For many women it is important to know whether this malformation HAS to be corrected. The answer to that is NO. If you do not like your breast and you feel uncomfortable, we can of course treat it. In most cases, purely medical treatment is not necessary.

Are there any risks in having my tubular breast treated?

Every operation carries risks. In rare cases, infections, wound healing disorders and scarring can occur.

Can I still breastfeed?

The ability to breastfeed is generally limited in a tubular breast, and this will also be the case after the operation.

How much will it cost to treat my tubular breast?

Costs start at € 6,500. This includes the hospital, hospital staff, anesthesia and the doctor’s fee. There are also implants (depending on the type) for € 900 to € 1,900.

Does the health insurance pay for the correction of my tubular breast?

We have no contracts with health insurance companies. We would be happy to send you an application to cover costs. If it is a diagnosed breast malformation, the health insurance usually covers costs of up to € 1,600. Supplementary insurance usually covers more costs. If it is a mixed form without diagnosis, you have to bear the costs yourself.