I’m a 35-year-old cis woman with severe congenital breast underdevelopment consistent with Grade IV tuberous breast / IGT, seeking non-surgical guidance only.
Key anatomy (right breast – worst side):
●Almost no sub-areolar tissue
●Severe areolar herniation (flattens when pressed inward)
●Left breast is slightly better but still underdeveloped.
I have never used hormones, herbs, or pumping devices.
Medical data:
●Breast ultrasound:
https://h.top4top.io/p_3614ptswy0.jpg
●Hormones within range:
https://h.top4top.io/p_34303ykyj2.jpg
●Estrogen fractions:
https://www2.0zz0.com/2025/05/23/07/608842333.png
●Anatomy photos (right breast – reference):
https://c.top4top.io/p_355496dyd0.jpg
https://g.top4top.io/p_3554qxilu4.jpg
●Recent hormone results yesterday (same cycle):
Tested ~4 days before my period (late luteal phase):
Estradiol (E2): 228.46 pg/mL
Progesterone: 16.44 ng/mL
Despite adequate luteal E2 and progesterone, breast tissue remains minimal with wide spacing and arrested development since puberty. This makes me suspect tissue-level non-responsiveness / constriction or ECM mechanics rather than systemic hormone deficiency.
Questions:
●Can normal late-luteal E2 + progesterone still coexist with poor breast development in your experience?
●Does this pattern suggest IGT / tuberous mechanics or tissue resistance rather than hormonal deficiency?
●Do very low-dose BHRT or micro-dose topical protocols (E2/Prog/DHEA) ever improve tissue responsiveness or soften the constriction ring?
●BO ,BM or Are any supplements or nutritional approaches worth considering for shape, not volume?
( are there any supplements that actually support permanent glandular breast tissue growth, not just temporary swelling or fat?)
●Would mechanical expansion make sense before or instead of systemic hormonal changes in cases like mine?
●From a safety perspective, which is more appropriate to try conservatively:
■EveBra (very low, sustained pressure), or
■Noogleberry (manual adjustable pressure)?
My priority is avoiding forward nipple pull and worsening herniation, while targeting the lower pole/sub-areolar area only. If conservative methods are unlikely to help, I would appreciate an honest opinion.
●Is dutch compelte test is important for my case?
Key anatomy (right breast – worst side):
●Almost no sub-areolar tissue
●Severe areolar herniation (flattens when pressed inward)
●Left breast is slightly better but still underdeveloped.
I have never used hormones, herbs, or pumping devices.
Medical data:
●Breast ultrasound:
https://h.top4top.io/p_3614ptswy0.jpg
●Hormones within range:
https://h.top4top.io/p_34303ykyj2.jpg
●Estrogen fractions:
https://www2.0zz0.com/2025/05/23/07/608842333.png
●Anatomy photos (right breast – reference):
https://c.top4top.io/p_355496dyd0.jpg
https://g.top4top.io/p_3554qxilu4.jpg
●Recent hormone results yesterday (same cycle):
Tested ~4 days before my period (late luteal phase):
Estradiol (E2): 228.46 pg/mL
Progesterone: 16.44 ng/mL
Despite adequate luteal E2 and progesterone, breast tissue remains minimal with wide spacing and arrested development since puberty. This makes me suspect tissue-level non-responsiveness / constriction or ECM mechanics rather than systemic hormone deficiency.
Questions:
●Can normal late-luteal E2 + progesterone still coexist with poor breast development in your experience?
●Does this pattern suggest IGT / tuberous mechanics or tissue resistance rather than hormonal deficiency?
●Do very low-dose BHRT or micro-dose topical protocols (E2/Prog/DHEA) ever improve tissue responsiveness or soften the constriction ring?
●BO ,BM or Are any supplements or nutritional approaches worth considering for shape, not volume?
( are there any supplements that actually support permanent glandular breast tissue growth, not just temporary swelling or fat?)
●Would mechanical expansion make sense before or instead of systemic hormonal changes in cases like mine?
●From a safety perspective, which is more appropriate to try conservatively:
■EveBra (very low, sustained pressure), or
■Noogleberry (manual adjustable pressure)?
My priority is avoiding forward nipple pull and worsening herniation, while targeting the lower pole/sub-areolar area only. If conservative methods are unlikely to help, I would appreciate an honest opinion.
●Is dutch compelte test is important for my case?