Breast Augmentation: Q&A

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Can Breast Augmentation Alone Correct Tubular Deformity?

I have Tubular Breast Deformity. My doctor is saying that Saline Breast implants alone should be able to fix this.

I am not to sure the exact severity of it. Can it be fixed with just a Breast augmentation? Also, my doctor recommends waiting until after the surgery to reduce the size of the areola - any reasons for this? Thanks for any input!

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14 Doctor Answers | Asked by tubular12 in Canada

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Tuberous Breast Deformity

I have seen and treated various different types of tuberous breast deformities. It would be hard for me to say that you have a definite tuberous breast deformity. If you do it is a very mild case. Anyhow, getting back to your question. No, implants alone would not solve the issue you have which is large areolas and drooping of the breast on the right more so than the left. You do need a reduction of the areola but also need a lift. This can be all done in one session. Some surgeons do... more

Corrrecting a tuberous deformity of the breast

First of all, other than having large areolae you don't look like you have a tuberous deformity. Secondly, putting implants in you by itself will only make you a larger version of what you are. Is that what you want? I suspect that what you want are elevated nipples, toned breasst with more volume, and symmetry. To get these, you will need a lift plus the implants, not just implants alone.

Tuberous breast deformity

Tuberous breast deformity is often incorrectly referred to as tubular breast deformity. It is so named because of the deformed breast's resemblance to a root vegetable called a tuber. Based on what I see in your photograph, you do not have this deformity. The posted photo shows ptosis and glandular ptosis, i.e., sagging breasts. A photograph alone does not replace a clinical exam, however, I would not recommend augmentation alone as it will make your larger, but not less droopy. Try... more

Breast Augmentation Alone Cannot Always Fix Tubular Breast

Dear tubular - from your photo I would definitely recommend you have a circumareolar lift on the right side to achieve symmetry. If you breasts were the same then perhaps you could try implants alone, but in your situation I do not think you will be happy.

Best solution for tubular breasts

Tuberous breast repairs are commonly scar ridden flat and unnatural looking. The good news is that there is a specific technique to create natural appearing breasts with hidden scars for this type of breast shape. The procedure involves a special subfascial placement of silicone implants and a special nipple lift and areolar reduction with a hidden scar. The results are very natural appearing. All the best, Rian A. Maercks M.D.

Photos: Tuberous breast and treatment with implants

I'm not sure I would call this a constricted or tuberous breast. You will likely require a modified lift and/or areolar reduction with augmetnation. Whether you do this in one or two procedures may vary from one surgeon to another.

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Surgery for tuberous breast deformity?

Who diagnosed you with a tuberous breast deformity? I don't see any hallmarks of the deformity- you have breast volume and infra-mammary fold imbalances, and dilated areola, with some breast and nipple ptosis bilaterally- that's not tuberous breast deformity. You would look great with a circum-vertical breast lift with or without an implant. Seek out a board certified plastic surgeon that knows how to diagnose and treat your very normal breast anatomy.... more

Tuberous breast deformity

Hi, implants alone are often not sufficient for correction of tuberous breast deformity. This may in fact exacerbate the condition and make the deformity more obvious. I also cannot see any reason to reduce the areolae at a later stage. I would recommend insertion of implants through an areolar incision which would aloow concurrent reduction in size. The infra-mammary fold beneath the breast generally needs to be lowered, and the thickened breast tissue in the lower pole of the... more

Breast augmentation and tubular breasts

Thank you for providing a picture. It really helps to answer questions when you can see what the patient looks like. Forget the tubular breast question and focus on what it is that bothers you and what your ideal situation would be. You may have several options depending upon the answer to these questions. You could want a breast reduction, a breast lift, a lift with implant or just implants. The designation as tubular breasts has very little bearing in your situation.

Tuberous breasts sometimes are mis diagnosed.

From the photo you posted it does not appear that you have tuberous breasts. You have a large areola and some ptosis (droop). There is obvious asymmetry. Implants alone (saline or silicone) will give you a bigger version of what you have now. So, if just being larger but not changing shape is what you want, then implants are indicated. If you want a lift, a smaller areola or an improvement in symmetry, then you may need to re-think the approach and talk it over again with your surgeon.... more

Correction of tubular breast deformity

Tubular breast deformities often require more than a breast implant. The deformity is actually a concentration of breast tissue directly below the nipple -- which can create a breast which is long and narrow. Obviously, the ideal breast is round and has breast tissue spread out across the entire chest. If only an implant is placed, then you will have a new breast mound upon which there will still be a deformed and narrowed breast and nipple. The best treatment for this deformity is to... more

Breast Augmentation to correct tuberous deformity

It is hard to tell from this photo but, if you do have a tuberous breast deformity, it is a mild one. Classically, a tuberous breast deformity manifests as large areolae which appear to be bulging out (due to herniation of breast tissue) with a rather narrow, constricted base (which has been described as a Snoopy nose or dog deformity). in your case you demonstrate breast ptosis (droopiness) with asymmetry both of which are VERY common. If you are happy with the size of your breasts and... more

Tuberous breasts

Tuberous breast is a descriptive term that encompasses a variety of shapes. One of the features is an enlarged nipple-areolar complex and a pooching out of this area, or what some call a herniation, although this is also a descriptive, not anatomical, definition. You might have some of this on the left which is possibly why your surgeon called it that. What needs to be done, and how, depends a lot on what you are going to be happy with in the end. If an asymmetry of the areola is not an... more

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Can implant alone correct tuberous breast deformity?

I agree with Dr. Hoffman. You do NOT appear to have tuberous breast deformity. You have ptosis (sagging) and need a mastopexy. If you are happy with your breast cup size in a bra, you do not need an augmentation. In my practice, I would not perform an augmentation on you; an implant will only aggravate your tendency towards sagging. In addition, the diameter of your areola is enlarged and this can be reduced to a more aesthetically pleasing diameter at the same time as the mastopexy. If... more