Breast Augmentation: Q&A

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Best Course of Action to Fix Tubular Breasts/ptosis? (photo)

Hey everyone! I'm 20 years old and never been pregnant. Every since my breast started developing, they have never been perky. They have always sagged. I recently found out through research that it may be tubular breast deformity. Which possible surgery(s) should I get to correct them? Must I get implants? My primary concern is proportion, lift and smaller areolas. I'm a 36c right now but I want to loose 50lbs? Should I wait till I loose weight to get any kind of surgery? Thanks

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age 18-24 C cup ptosis tubular breasts

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19 Doctor Answers | Asked by hopefulpatient03

Doctor Answers (19)
Community Comments (0)

Tubular sagging breasts, best solutions?

Thank you for your question and photos. You do have breast ptosis or sagging of your breasts. You do not have tubular breasts and large areolae by themself do not characterize the condition of tuberous breasts. If you are planning to loose 50lbs of weight, then I suggest you wait with any breast surgery. You will benefit from a short scar, or lollipop scar breast lift. This reshapes your breasts, makes the nipple-areolar complex smaller and will give you more projecting and perkier breasts.... more

Tubular Breasts/ptosis

By all means, begin to work on your weight loss. The decision tree will be narrowed down, and any changes in your breasts due to weight change will occur before surgery, not after, thus avoiding a major possible cause for a revision surgery. There are a number of features that define a tubular breast: •Wide and puffy areolae •widely spaced breasts •high breast fold •constricted lower pole (deficient tissue in lower half of the breast •minimal breast tissue •high... more

Breast lift will help you reach your goal

You say your primary goal is proportion, lift and smaller areola. You do not need implants to achieve this goal unless you wanted larger breasts. A lift can raise your areola up and make your areola smaller. If you plan to lose 50 pounds, definitely have surgery after weight loss to improve your result and minimize the possibility of needing another lift after weight loss. Furthermore, your breasts may get smaller and change shape after weight loss thus changing your goals or... more

Breast Implants and Lift after 50 lb Weight Loss

A patient should definitely lose 50 lbs before surgery. Losing 50 lbs after surgery would likely have a negative and deflational effect on the final breast result. If you would like the breasts larger at that point, an implant can be placed and a full breast lift can be perfomed to reduce the areolae and lift the breasts. Kenneth Hughes, MD HughesPlasticSurgery, Los Angeles, CA

Best course of action.

Thanks for your post and photos. The best course of action is to consult with at least 3 plastic surgeons, consider your options and goals, and then decide about which is the best operation for your situation. Best wishes. Dr. Aldo.

Aldo Guerra, MD

56 reviews

Scottsdale Plastic Surgeon

Breast Lift Surgery

If you want to lose a significant amount of weight as you say, I would recommend working a bit on that before going in for surgery. You should consult with a board-certified plastic surgeon about your procedure options but they will likely also recommend that you wait until you are closer to your goal weight for surgery. Judging by your photo, a breast lift should provide you the look you desire. Your surgeon can also address the size of your areola during this procedure. more

Breast ptosis

The way you appear currently, I would advise a full mastopexy with no implant. Either an anchor or lollipop type of lift would work. If you lose weight, there is a good chance an implant might be needed. An option for you might be to have the full lift now, including reducing the areolae. When you lose the weight you want to lose an implant can be added if needed. Granted, this involves two stages, but there is nothing wrong with staging a lift and implant... more

Good plan!

Weight loss is definitely advisable prior to surgery, since you indicate that you want to lose weight. After that, you can then reassess your breast size and decide if you just want the sizes to better match, or if you want them to be larger. If the former, then a lift alone will work. If the latter, then a lift with implants would be needed. Best wishes!

Carmen Kavali, MD

11 reviews

Atlanta Plastic Surgeon

Best Course of Action to Fix Tubular Breasts/ptosis?

Getting close to your ideal weight is ALWAYS best! But the staged operations I would recommend are the full lift with areolar reduction as STAGE I.

Breast lift surgery timed with optimal weight.

Greetings, We advise our patients to embark upon breast lift (mastopexy) surgery, when they are at or close to their goal weight. A breast lift followed by a 50 lb. weight loss puts you at risk for longer breasts lacking in your goal volume. Better breast shape, nipple position, and smaller areolas all are part of a properly planned lift. Discuss timing for your surgery with an experienced board certified plastic surgeon. He (or she) can discuss your volume needs, as well... more

Best Option for Breast Augmentation/Lifting?

Thank you for the question and pictures. You will certainly be best off achieving a long-term stable weight prior to undergoing any type of breast surgery. At that time, exactly what operation will best meet your goals will depend on your physical examination and specific goals. Again, when you have achieved a long-term stable weight, seek consultation with board-certified plastic surgeons. Ask to see lots of examples of their work. Communicate your goals clearly... more

Breast Lift Is The Answer

Based on the photos and you would do very well with a breast lift or maybe a small reduction based on your size desires. see video

Tuberous breasts? No.

You do not have tuberous breast deformity, just ptosis (droopiness) and large areolae. I think you are a great candiate for a standard breast lift which will give fullness and perkiness to your breasts while raising and making the areolae smaller and match the breast better. I would highly recommend you lose the weight first so the surgical result will be more predictable and longer lasting.

Breast lift and weight loss

You do not have tuberous breasts. They just appear droopy. I would lose the weight first before undergoing surgery.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast lift surgery

You do not have tubular breasts. You have a normal breast variation consisting of an enlarged areola and breast sagging or ptosis. You have two primary choices, you may consider a breast lift with an areolar reduction or if you wanted to be a larger breast size the same procedure can be considered with the use of a breast implant. If you are considering losing 50 pounds it would be best for you to be close to your goal weight before considering this surgery as it will... more

Breast ptosis

Hello If you are happy with your present size, a breast lift or mastopexy would give you a good result and a implant would not be necessary. If you plan to lose a large amount of weight, waiting on the breast surgery would be better, in that your breast volume may decrease to a significant degree necessitating volume addition through an implant.

Wegiht loss is important prior to cosmetic breast surgery

Frist off- if you are considering a 50 lb weight loss, I'd encourage you to achieve this prior to cosmetic breast surgery. I don't think you have a 'tuberous' breast anatomy. Based on your photos, I would advocate a vertical mastopexy with autolgous flap to improve the central projection of the breast. I don't think you'll need an implant. The link I've enclosed is to photos of patient of mine with similar anatomy.

Hello

Thank you for your pictures, it does not look like you have tubular breast deformity. You did not mention if you want to get bigger breast. If your looking just to improve the shape of your breast and sag. We would recommend a modest implant and a vertical or anchor lift. That would give you nice breast contour. A areola reduction would be good at the same time as the lift. You should see A certified PS to go over your options.