Breast Augmentation: Q&A

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Does Having Tubular Breasts Discount me for a Breast Augmentation?

Which Way to Go? I Am Just Under 300 Pounds and Just over 50 Years Old

I have finally decided to get a breast augmentation. The 2 surgeons I've seen have stated that because in their opinion my breasts are tubular they feel uncomfortable performing an augmentation. Am I not a candidate?

If I am a candidate what questions should I discuss with any future appointments and what could any additional procedures cost in addition? A ballpark would do and thank you for taking the time to read and answer this inquiry!

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17 Doctor Answers | Asked by Sekseegoilz in Cerritos, CA

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Tuberous Breast Surgery - Los Angeles

Hello and thank you for the question. In review of your photographs, you have a diagnosis of tubular breasts( aka tuberous breasts), as my colleagues have suggested. Definitive improvement of the aesthetic look of your breast you will require not only a breast augmentation, but also soft-tissue rearrangement with constriction release and mastopexy through a circum-areolar incision. These procedures are generally staged. Occasionally and with an ideal anatomic profile, the... more

The real question is "why now?"

Just being honest, I am surprised that the other doctors haven't really explored why you want this procedure given that you are over 50 and have had it since teenage and why at 300 pounds you think this will help your happiness with your body. Doing it now just sets you up for further body image unhappiness. The problem is that older patients and especially excessively thin or excessively overweight patients do not get great results and the tubular deformity is about the... more

Breast Augmentation for women with Tubular Breast Deformity

Tubular breast deformity is not a contraindication for breast augmentation. To the contrary, breast augmentation is performed in order to correct this deformity. Because it is a deformity of the breast tissue your plastic surgeon needs to be experienced in dealing with correction of tubular breast deformity. There are many capable board certified plastic surgeons in Los Angeles who can help you with breast augmentation and correction of tubular breast deformity.

Breast enlargement for tubular breasts

Tubular breasts may be difficult to correct but I usually perform a small uplift which rounds the bottom of the breasts as well as sometimes splay out the breast tissue of the lower breast to further help the shape. This will not give you perect breasts but usually a definite improvement. I would probably recommend a large sized implant because of your weight. Several alternatives are available. The implant surgery is about $4999 and the uplift part would be additional depending on what type... more

Cosmetic surgery in the overweight patient

In my opinion you cannot correct your breasts without a procedure that addresses the envelope of skin around the breast, the breast tissue itself which is tubular and then augmentation with different sized implants to give you better right left symmetry. My current policy though is not to do any major cosmetic surgery on patients who are more than 100 pounds above their ideal body weight until they have lost most of that excess weight. The risks of life threatening blood clots, skin... more

Breast implants and tuberous breasts

You can have breast augmentation even though you appear to have tuberous breasts. At the time of surgery there are some techniques that can help improve the shape of your breasts. Your breasts will not look completely round, however, they will have a nicer shape due to the implants and the correction of the cone-shaped nature of the tuberous breast. The cost varies depending on the length of the surgery, which is usually about 1.5- 2hrs. Best wishes, Dr. Bruno more

You are not a good candidate for surgery

I would suggest that you not seek breast augmentation. Because of your weight , you are at higher risk of complications from surgery and anesthesia. Your breast shape makes the surgery even more complicated and I would delay the surgery till you have lost weight.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Tuberous breast does not prevent breast augmentation

The contrary is true, a tuberous breast invites breast augmentation to correct the narrow breast base, and to reduce the prominence of the nipple which is characteristic. Augmentation of a breast that is tuberous in shape is not straightforward and some surgeons might turn you down, however seek additional opinions, and expect an additional scar around the nipple to lift and correct the nipple constriction. Best of luck, peterejohnsonmd

Does Having Tubular Breasts Discount me for a Breast Augmentation?

Thank you foe posting a question and photos. I would recommend before any staged breast surgery a weight loss plan or weight loss surgery. . This would be for your safe outcome from breast surgery. Please address all your medical issues.

Tubular breasts and augmentation

Patient's with tubular breasts are usually not candidates for breast augmentation alone. The underlying deformities of the breasts need to be addressed at the same time as augmentation. The tubular deformities require internal release of the breast tissue and a breast lift. When these are combined with augmentation a reasonable result may be achieved.

Tubular breasts and breat augmentation

Due to the tubular or tuberous shape of your breasts, you would also need to have the excess loose skin around the nipples removed and have the nipples elevated. This could be performed via a donut shaped incision around the nipple/areola. You may also need to have the base of the breast tissue released to allow the breast to unfurl over the implant. This would help avoid a "double bubble" look which can otherwise occur in augmented tublular... more

Tubular breasts require reconstruction as well as augmentation.

Hi. 1) You have not gotten very sophisticated opinions. Of course you can have breast augmentation, and you can expect a great result -- in the right hands. 2) First, the breast deformity needs to be corrected. This is done through a circular scar around the nipples. The tight tissues in the underside of the breasts are released. A lift is performed. Finally the size of the areolas is reduced. 3) Now the shape of your breasts... more

Breast augmentation for tubular breasts

From your photos, you have typical features of tubular breasts. 1) The areolae are large, 2) there is breast tissue pushing into your areolae, and 3) the skin and breast tissue in the lower part of your breasts are very narrow. These things need to be addressed at the time of your augmentation to give you a pleasing shape. As described above, doing a breast lift through in incision placed around the areola would allow your surgeon to address the first two issues. Through this incision,... more

Not just a breast augmentation

You need to have a breast lift and tissue rearrangement at the same time as your breast augmentation. May be able to do a circumareolar mastopexy . You need an examination to be sure. Good Luck! DrGrantStevens

Breast augmentation for tubular breasts.

You would be a bad candidate for JUST an augmentation, but it would be reasonable to place an implant with a type of mastopexy that releases the constricted tissue.

Tuberous Breasts?

Thank you for the question and pictures. Based on your description I think you will be much better off seeking consultations with board-certified plastic surgeons after you have dropped a significant amount of weight. Losing weight prior to surgery located at best chances of a successful/long-term results. Generally, breast implants are an important part of the correction of tuberous breasts surgery. The surgery involves releasing the constricting ring... more

Might be better to closer to ideal body weight first

Your breasts can definitly be helped with surgery. However to so safely, being closer to your ideal body weight is important to minimize the risk of surgery, and will allow for the augmentation and ptosis correction to better show through.