Tuberous Breast Correction

Ballerina breast augmentation in Scottsdale with board-certified plastic surgeon Dr. Ashley Howarth to create refined volume, graceful proportions, and soft upper pole restraint. Each procedure is thoughtfully planned to align with your body, your goals, and the way you want to look and feel.

Experience the exceptional care and personalized touch of a board-certified female plastic surgeon who prioritizes your well-being every step of the way. Discover why Dr. Ashley Howarth stands out as one of the best plastic surgeons in Arizona for results that look and feel beautifully natural.

Tuberous Breast Correction in Scottsdale

Tuberous breast correction is a specialized form of breast surgery that addresses congenital breast shape abnormalities—most often a high, narrow base; puffy or enlarged areolas; and a constricted lower pole. For many women, this condition develops during puberty and leads to lasting feelings of imbalance or self-consciousness.

Dr. Ashley Howarth is a Mayo Clinic–trained, board-certified plastic surgeon with deep expertise in treating tuberous breast anatomy. She takes a measured, compassionate approach—correcting both the physical features and the emotional effects of this condition. With advanced techniques and artistic precision, Dr. Howarth helps patients achieve soft, natural contours that restore comfort, symmetry, and confidence.

What Is Tuberous Breast Correction?

Tuberous breasts—sometimes called tubular or constricted breasts—develop when the lower portion of the breast doesn’t fully expand during puberty. This can result in narrow breast bases, prominent areolas, a high inframammary fold, and asymmetry. The condition can affect one or both breasts and varies in severity.

Correction typically involves releasing the constricted tissue, reshaping the lower breast, resizing or repositioning the areola, and adding volume through implants, fat transfer, or both. Dr. Howarth customizes each surgical plan to the patient’s anatomy, degree of constriction, and aesthetic goals—restoring not only shape but also a sense of femininity and ease.

Ashley Howarth MD Plastic Surgeon for Breast Implants

Reasons Women Choose Tuberous Breast Correction

CORRECT A CONGENITAL CONDITION

Tuberous breasts aren’t caused by weight changes or pregnancy—they’re a developmental condition present since adolescence. Correction offers physical and emotional relief for something that never felt “normal” to begin with.

ACHIEVE SYMMETRY AND PROPORTION

Because tuberous breast deformities often affect only one side—or affect each breast differently—patients are often burdened by visible asymmetry. Surgery restores balance and alignment in a way that feels deeply personal and empowering.

REFINE AREOLA SIZE AND POSITION

The puffy or widened appearance of the areolas is one of the most emotionally distressing features of tuberous breast anatomy. Surgical correction can reduce areola size and improve placement for a more proportional, natural look.

MOVE FORWARD WITH CONFIDENCE

Many women with tuberous breasts delay seeking treatment due to embarrassment or misinformation. Correction can offer not just aesthetic improvement, but emotional healing after years of discomfort or shame.

Tuberous Breast Correction Consultation Process

A Thoughtful, One-on-One Conversation

Your consultation with Dr. Howarth is a private, compassionate conversation designed to understand your history, your goals, and your experience with tuberous anatomy. She’ll take detailed measurements, assess breast tissue and skin elasticity, and explain your anatomical presentation with clarity and care—no judgment, no assumptions.

You’ll review options for correction, including whether implants, fat transfer, areolar reshaping, or internal release techniques are needed. Dr. Howarth will explain the surgical process in approachable language and set clear expectations for recovery and results. Her role is to guide—not pressure—and to help you feel informed and supported throughout.

This is a moment to be heard, not rushed. Dr. Howarth approaches every case of tuberous correction with clinical precision and personal empathy—knowing that for many women, this is more than cosmetic. It’s restorative.

From consultation to confidence

Selecting a Plastic Surgeon with a Commitment to Excellence

CAREFUL PLANNING

Every tuberous breast is unique. Dr. Howarth begins with a full evaluation of breast shape, base diameter, fold height, and skin tension to design a customized plan that addresses both function and form.

SURGICAL EXPERTISE

Correction may involve multiple techniques—tissue scoring, implant placement, areolar reshaping, or fat grafting. Dr. Howarth performs each step with meticulous care, preserving tissue integrity while releasing constriction and restoring contour.

SUPPORTIVE RECOVERY

Because this surgery often carries emotional weight, recovery is approached with extra attention and compassion. You’ll receive personalized care instructions, ongoing support, and thoughtful follow-up to ensure both physical healing and emotional reassurance.

Begin Your Transformation

Meet your surgeon

Ashley Lynn Howarth, MD, FACS

Dr. Ashley Howarth is a board-certified plastic surgeon who completed her training in Plastic and Reconstructive Surgery at the Mayo Clinic Arizona. Prior to that, she trained in general surgery at Texas A&M Baylor Scott & White, and earned her medical degree from the University of Louisville School of Medicine. With nine years of combined surgical training, few surgeons possess the level of academic experience as Dr. Howarth. 

She has quickly become one of Arizona’s most in-demand plastic surgeons, recognized for her surgical precision, natural aesthetic, and obsession with detail. Her clinical interests include cosmetic surgery of the face, breasts, and body, and she is known for delivering results that are refined, balanced, and thoughtfully executed.

In addition to her surgical practice, Dr. Howarth serves as an Associate Professor of Plastic Surgery at Mayo Clinic, where she helps train the next generation of plastic surgeons. She also serves as the youngest board member and Member-at-Large for the Arizona Society of Plastic Surgeons, a leadership role awarded by her peers.

As a working mother of three young boys, Dr. Howarth understands the challenges that women face. Her care is grounded in empathy, honesty, and individualized attention, with the goal of helping every patient feel confident, supported, and beautifully themselves throughout the entire process.

She proudly supports the Boys & Girls Clubs of Greater Scottsdale and sponsors their Celebrate Youth Gala each year. She also mentors young women interested in medicine and surgery by offering shadowing opportunities and career guidance, continuing her dedication to helping others grow—both in and out of the operating room.

“My life feels full and wonderful due to this transformation. I’m blessed to have had Dr. Howarth complete my surgery. Don’t wait to love your body and yourself!” – M.A.

What causes tuberous breasts?

Tuberous breasts are caused by a congenital developmental issue in breast tissue. During puberty, the lower portion of the breast doesn’t fully expand, resulting in a narrow base, enlarged areolas, and an underdeveloped shape. The condition is not caused by anything a patient did or didn’t do—and it’s more common than most people realize.

Can tuberous breasts be fixed with implants alone?

Not usually. While implants can restore volume, true correction often requires releasing tight tissue, reshaping the breast base, and adjusting the areolas. Dr. Howarth carefully evaluates each patient to determine the right combination of techniques for long-term improvement.

Is this considered a reconstructive or cosmetic procedure?

It’s considered cosmetic for insurance purposes, but many women view the surgery as deeply restorative. The goal isn’t just enhancement—it’s normalization of a condition that’s felt abnormal since puberty.

Will I need a lift as part of the correction?

Possibly. If the breasts are low on the chest wall or the areolas are too low, a lift may be recommended in combination with augmentation or reshaping. Dr. Howarth will help you understand what’s necessary to achieve your desired result.

Can tuberous breast correction be done without implants?

In some cases, yes—especially if the patient prefers a subtle result or has adequate volume that simply needs reshaping. Fat grafting or internal tissue release may be used as standalone methods or to enhance outcomes without implants.

How do I know if I have tuberous breasts?

If your breasts appear constricted, high-set, asymmetrical, or puffy in the areola area—and have always looked that way since development—it may be tuberous anatomy. Dr. Howarth can provide a clear diagnosis and explain your options during consultation.

What kind of results can I expect?

While no two cases are the same, patients often describe their results as life-changing. With expert correction, the breasts can look balanced, soft, and natural—giving you the confidence to feel at home in your body, often for the first time.

Begin Your Transformation