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Tuberous Breast Correction Revision Surgery

asked 2 years ago by curiousgal in canada
Latest answer by Brooke R. Seckel, MD
Question viewed 2,825 times
Tags: saline implants, under muscle, gap, tuberous

I had tuberous breasts corrected over a year ago with a lift, areola reduction, lowering of the crease and mod saline implants put in partially behind the muscle. My breasts are now extremely far apart, one is hard and almost in my armpit, and my original breast is visible on top of the implant.

What kind of revision surgery would correct this? Silicone high profiles over the muscle? Also, what can I do about these horrible areola scars?

11 answers to Tuberous Breast Correction Revision Surgery

Tuberous Breast Revision May Require Capsule Release, Alloderm and Fat Transfer

Thank you for your important question. You need to be examined by your surgeon for his/her opinion. From your description of hardness and the appearance of the photo it is likely that you have Capsular Contraction on the left side as well as a "double bubble." These are complex issues to treat. Open capsulectomy and placement of Alloderm and Fat can help reduce the recurrence of the capsule contraction. The double bubble is more difficult. Soft Tissue Expansion may be... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

Tubular Breast Revision

The photo is not as helpful as a real live examination, but it appears there may be some irregularity to the implant pocket that can be corrected. Redraping the breast tissue to blend more harmoniously with the size and shape of the implant can help and there are some techniques that might improve the "double bubble, but this is often unavoidable with tubular breast reconstruction. The use of acellular dermal matrix (ADM) has helped in reshaping breast pockets, tubular... more

Paul C. Zwiebel, MD
Denver Plastic Surgeon

Tubular breast deformity correction

When a patient presents to me with this problem, it is usually corrected with a periareolar mastopexy augmentation using a submuscular silicone implant. Occasionally a full mastopexy with augmentation is required to correct symmetry issues. In your specific case it's very hard to see what you may need with one arm elevated.

Thomas B. Lintner, MD
Atlanta Plastic Surgeon

Please keep the arms down in the photos

Arms at the sides is the way to do the photos. Yours doesn't tell me anything helpful because I can't tell how much of what we see it artifact of the arms or real. There are many ways to revise the tubular breast, they can be much better but rarely ever perfect.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

www.randcosmeticsurgery.com

Surgery to Correct Tubular Breasts

Surgery to correct tubular breasts is challenging. Without examining you, it is difficult to tell exactly what is causing your breast to take the shape it has. It is critical to figure out what is causing the deformity, as different causes will have different treatments. What is clear, however, is that release of the band of tissue stretching across your breast will be needed, and volume will have to added to the lower portion of your breast. The most commonly performed procedures... more

David Greenspun, MD, MSc
New York Plastic Surgeon

www.davidgreenspunmd.com

Still A Chance For A Good Result With Revision of Tuberous Breast Deformity

A thorough planned probably multiple stage revision is needed to obtain the ultimate goal. Symmetry! I believe if you had good symmetry and the scars were placed at the very edge of the areola you could get a very good result. With your left arm raised it is difficult to know exactly what procedure you need. With this in mind, the left breast will probably require capsulectomy (removal of the scar that has formed around the implant) with radial scoring of breast (this helps the... more

David L. Mobley, MD
Sarasota Plastic Surgeon

Bad tuberous breast surgery results can be improved.

Hi! I think you can expect major improvement. 1) What implant you use is not the most important thing, but I recommend smooth walled, moderate plus profile, cohesive silicone gel breast implants. I would place them completely over the muscle. This position allows the surgeon to control shape the best, and with tuberous breasts, the shape is the problem. 2) The critical steps are releasing the internal breast tissue to correct the pointed shape, and reconstructing the fold under your... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Tuberous deformity

Revision of a tuberous deformity recosntruction can be difficult. It appears form your phots that you have a double bubble possibly from undermining the breast fold. If your breast is very tight and the implant doesn't move, you may have a capsular contracture. However, without examining you, it would be difficult to tell you what you need to have done to correct yoru problem.

Steven Wallach, MD
Manhattan Plastic Surgeon

Revision of tuberous breast

It sounds like the original plan was correct, but the scars widened and need to be revised. What I see in the picture is something not necessarily related specifically to the tuberous breast, but the muscle. What I have found is that the "double bubble" defined by the crease across the bottom of the breast is usually related to the muscle attaching to the scar capsule at that location. you can confirm this by contracting your pectoral muscles and observing whether it pulls up... more

Richard Baxter, MD
Seattle Plastic Surgeon

Secondary breast revision possible

Hello, At least from examining this picture, it does not look like you the lower pole of the breast will require further attention. The first implant acted as an expander to give more skin excess. Secondary correction of a tuberous breast deformity in your case will require the following: 1. Total capsulectomy for the hard side(or both). 2. Revision breast lift with revision of the IMF (lower breast fold) and lateral breast fold. 3. Implant exchange to gel with or without pocket exchange. 4... more

Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon

www.drseify.com

Tuberous Breast Revisionary Surgery

Tuberous breasts 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). In the most severe cases of tuberous breast, a more complete breast lift may also be necessary. In many cases however, a lift is not necessary. The patient should be aware that the final result will take months to see and that they will... more