Saline Breast Implant Placement and Shape for Tubular Breasts?

asked 2 years ago by RLA in North Carolina
Latest answer by Tom J. Pousti, MD
Question viewed 930 times
Tags: age 18-24, areola, breasts, female, saline implants, B cup, C cup, placement, puffy eyes, shape

I am a 20-year-old woman with a mild case of the "tubular" breast deformity. I have the large, puffy areola, but my breasts are not as narrow as many shown in the pictures. They moreso just point downwards with no upward curvature. I also think I have a fair amount of breast tissue and wear a B/C cup. I am considering getting saline breast implants and have some concerns: Will subglandular or submuscular placement look more natural? Which shape (I've read there is anatomical and teardrop) of the saline implant will achieve the more natural upward curvature?

7 answers to Saline Breast Implant Placement and Shape for Tubular Breasts?

Tuberous Breasts Correction

I prefer the use of smooth, round, partially submuscular ("dual plane") breast implants for correction of tuberous (constricted) breasts. Tuberous breasts generally have a very narrow base, short distance from areola to inframammary fold, tight (constricted) lower pole of the breasts, relatively wide space between the breasts, "puffy" and areola and some degree of ptosis (drooping). Generally, the procedure involves breast... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Implant choices

I prefer sub muscular or what is called dual plane to provide more soft tissue coverage over the superior pole. I also prefer round smooth over textured or anatomic.

Steven Wallach, MD
Manhattan Plastic Surgeon

Saline Breast Implant Placement and Shape for Tubular [tuberous aka constricted] Breasts?

I have found that submuscular placement of moderate plus conservatively sized saline implants with dual plane glandular dissection and radial relaxing incisions and circumareolar mastopexy works well for tuberous breasts

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast implant placement and shape for tubular breasts?

As the posts beneath mine attest, three good Plastic surgery with slightly varying opinions. In your case, I agree more with the opinions voiced by Drs. Horn and Rand. Tubular Breast Deformity is a MISNOMER. It is NOT one deformity but a spectrum of different deformities, imperfections and variants which TOGETHER are best classified as a "tubular breast". In YOUR case - you have " the large, puffy areola, ...breasts are not as narrow as many shown in the pictures. They ...just poi more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Correction of tubular breasts.

Hi! Breast implants alone (any kind of implant) will not make you look better. You also need to have your breast tissue internally re-shaped and lifted through a circular scar around the nipples. Once the shape is right, I would recommend small silicone implants placed over the muscle.

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast implants for tubular breasts

Tubular breasts can look much nicer after a breast augmentation. Depending on the how tubular your breasts are to start, you may benefit from an around the nipple lift to flatten the areola (pigmented area around the nipple) and make it smaller. When the bottom of the breast is tight, work on the inside of the breast to release the tissues can round out the lower part of the breasts. Round implants look more natural than anatomic ones because when you stand up, the round implants appear... more

Michael Horn, MD
Chicago Plastic Surgeon

Tubular breasts

Tubular breasts come in a range of severities. It sounds like yours is mild and mostly manifested in the areola. A periareolar mastopexy can lift your areolas and decrease their diameter some also. The implant should be submuscular for the best long-term look, better mammography, and less risk of capsular contracture. Round implants are typically used becasue shaped implants have to "stick" to the tissues in order not to rotate around in the pocket and look asymmetrical to... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

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