Breast Augmentation: Q&A

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Would Breast Augmentation Be Worth It if I Just Want a More Natural, Less Tuberous Shape to my Breasts?

I'm 20 and I believe I have tuberous breasts, I don't want huge breasts, just less conical and more filled out at the base. I also have Von Willebrand's Disease, it is a bruising and bleeding disorder similar to Hemophilia, since breast augmentation on tuberous breasts requires more work, would this procedure be too dangerous for me? Does it typically cost more to do this type of surgery? What are my options.

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age 18-24 tuberous bleeding bruising costs dangers natural looking options

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15 Doctor Answers | Asked by TJSWFL in Southwest FL

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Implants for tuberous breast

Your breast are not truly tuberous breast, but there is some "herniation" of the breast tissue into the areolar causing some puffiness, which you may find unattractive. A small implant may help make this appear more proportionate, but generally implants make the breast look the same but just larger. However, with an excision of a ring of areolar at the outer edge of the areolar would make a areolar smaller, flatter, and a substantial improvement in the appearance, and the... more

Tuberous breast repair

The amount of risk in correctly repairing tubular breasts vs normal breasts is not different. Tuberous breast repairs are commonly scar ridden flat and unnatural looking. The good news is that I have developed 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... more

Tuerous Deformity

Correcting your deformity involves surgery similar to placing an implant and performing a circumareolar breast lift. I have done this surgery and many others on Von Willebrand's patients with the involvement of a hematologist. Proper dosing and timing of DDAVP should make this surgery safe for you but I would consult with your hematologist first.

Fixing Tuberous Breasts

There are a lot of answers to this question already, but I though I would try to answer in a really easy to understand way. Your breasts are not too bad when it comes to tuberous breasts. Usually tuberous breasts are narrow and long. They can be a little saggy as well. The areola on a tuberous breast sometimes sticks out. In your case, you have small breasts that are not really narrow nor do they hang down. You do have puffy areolae which plastic surgeons would call, "herniated".... more

Tuberous breast

Your degree of tuberous breast is minimal.Obviously your von willebrands disease needs to be addressed as to what type you have.I would think the best thing to do we be to see a hematologist to determine how an augmenattion could be done safely but I think they could be done at the same time.

Cosmetic surgery and bleeding disorders

If you're factor VIII clotting factor is increased by injection to 80% or more of normal and maintained at that level for a week or 2 after surgery your risk for surgery is no different than anyone who does not have a bleeding disorder. It should be a non-issue with the input of a hematologist. The question is what do to get a symmetric result you are happy with. Unfortunately your posted photos are not helpful because there appears to be some asymmetry with the left breast larger... more

Transaxillary Approach

An augmentation through an armpit incision is a procedure we have commonly performed in a variety of degrees of tuberous (constricted) breasts. From your photos, you have some slight herniation of the areola and excellent shape and dimension to your breast mound. A submuscular augmentation should yield a very pretty result.

Tubular breast deformity and correction.

I would agree that you have a form of tuberous breast deformity based on your photos. To correct this deformity, the fold is lowered, the gland is released from the areola, and often an implant is placed to balance the symmetry with the often unaffected or less affected contralateral breast. Placing an implant does not have to mean "huge breasts." The operation is not as straightforward as an augmentation, and in some instances is covered by insurance. As for the Von... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Breast augmentation

I have no problem recommending a breast augmentation for the tuberous breast deformity as shown in the pictures. I would need to speak to your hematologist regarding the exact severity of your coagulation problem before recommending the procedure to you specifically. All the best, Talmage J. Raine MD FACS

Talmage J. Raine, MD

5 reviews

Chicago Plastic Surgeon

Correction of tuberous breast deformity

Correction of your tuberous breasts is usually best served through a periareolar approach, using either a dual-plane (my preference - implants are placed above and below the muscule in different regions of the breast) or a subglandular augmentation approach. A total submuscular approach will usually not allow enough breast tissue expansion and relaxation to produce the natural lower breast folds that are attractive to patients. In addition, the use of subglandular breast relaxing... more

Augmentation mammoplasty

With your bleeding tendency/disorder, if not addressed/contolled you are the same risck of undregoing any other elective surgeries. A coservative augmentation mammoplasty, with approximately 200 ml implant, you are going to look great. Best approach is to go through your areolas, place silicone implnts on top of the muscles and perform slicing incisions at the base of your breast tissues.

Tuberous breast with platlet disorder

You have mild tuberous breasts with a platlet disorder. the first options of course is to do nothing. The second would be a periareolar breast augmentation with sectioning of the fibrous ring that is responsible for the tuberous breasts in several locations around the areola to permit the breast tissue to lie flatter. I have placed the implants sub-muscular in cases like your. The critical issue in your case if weather you will require a platelets transfusion during surgery. With regard... more

You may benefit from fat grafting

Your right breast has more sevre form of tubular breast. If you are not focused on the size only,fat grafting may work better for you. You will need coordination of your surgery with both plastic surgeon and hematologist to minimize bleeding complication. You can find examples in my web site.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Is breast augmentation worth it

You do have a slightly tuberous breast shape, though surgery need not be more complicated. You could consider a submuscular saline breast implant, though a small perireolar approach and you could have a rounder and fuller look. The nipple could be addressed later if you wish it. The saline has an ease and safety profile best matched for someone challenged by Von Willebrand's. You will need the coordination of your hematologist. Is it worth it? It may be for some, and if you cannot get... more

Tuberous Breast

Correction of tuberous breast does take a bit more work than a straight forward breast augmentation surgery. If you are bothered by the shape of the breasts, this procedure can help "round out" your breasts and you could place a small implant to assist with filling things out. You need to meet with the surgeon, see many examples of their work and talk to patients about their experience with the surgeon and the staff. Tuberous breast surgery is different than a straight... more