Tubular or nipple breasts are descriptive of an unusual deformity in which a hypoplastic mammary gland is situated under a stretched out areola, giving the breast a tubular shape. Six patients, age 17 to 21 years, have undergone surgical correction of this deformity. The one-stage procedure involves excision of excess areola, augmentation through the areolar incision, correction of asymmetry by means of asymmetric implants, and cruciate incisions on the posterior aspect of the breast to improve the contoural defect. The complication rate has been no greater than that of routine augmentation, and patient satisfaction has been good.