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Breast Lift for Tuberous Breasts

asked 3 years ago by Sugar27 in WI
Latest answer by Tom J. Pousti, MD
Question viewed 2,361 times
Tags: nipples, asymmetry, tuberous

I have been diagnosed with tuberous breasts and it was recommended I get a lift on one side, because one of my nipples hangs lower than the other. Like most ladies with this condition, when it's cold, my tuberous breasts actually look normal and my nipples actually even out. Would I have the opposite problem after getting a lift done? What would happen when I'm cold?

17 answers to Breast Lift for Tuberous Breasts

Augmentation and mastopexy procedures can correct a tuberous breast

A tuberous breast is a not so nice term applied to a breast in which the nipple and areolar skin are prominent and "herniated" forward on the breast. The breast skin is relatively tight around the areola and the base diameter of the breast is also often tight and constricted. Indeed when the nipple responds to cold the areola can tighten and the herniation resolve as the nipple becomes taught. The tuber reference was made to the tuberous root shape comparison to the breast, again... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Tuberous Breast Correction

Great improvement can be achieved with plastic surgery of a tuberous breast. The surgery is challenging and very individualized, because each person's situation is so unique, but the results can be tremendously gratifying. Getting the two breasts to look like each other (symmetry) is one of the most important parts of the surgery. The surgery should not effect the nipple response to cold, but correcting the position and shape of the nipple and the breast behind it should... more

Paul C. Zwiebel, MD
Denver Plastic Surgeon

www.pzwiebel.com

Tuberous or Tubular Breasts

Tubular breast is a condition where one or both breasts do not develop normally or completely, remaining narrow at the base and projecting in a conical or tubular fashion from the chest wall. Tubular breasts are usually somewhat small and droopy, and they tend to have overly projecting or bulging areolas. The inframammary folds are generally higher than normal, and the breasts often appear to be unnaturally far apart on the chest wall. The condition is thought to result from an early... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Tuberous breasts are the hardest starting point for augmentations and lifts

If you have tuberous breasts, they are the most challenging starting point for augmentation mastopexy surgery. Done by an experienced plastic surgeon, you should have a nice improvement, not perfect though, because of the starting point. I can't answer the rest of your question regarding the nipples but can say that I have never heard a patient complain about this after surgery. Good luck!

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Tuberous Breast 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). Generally, the procedure involves breast augmentation with areola reduction / mastopexy procedure. The distance from the inframammary fold is increased (to create a more rounded out appearance). Proper implant positioning improves the distance... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Tuberous breast Correction?

A true tuberous breast correction procedure can be quite difficult and challenging for a surgeon. The breast has a constricted base with a protruding nipple and most often has a small amount of breast volume. This varies from patient to patient and requires a variety of procedures from a small radial release with breast augmentation and/or release or reduction of the areolar. Sometimes this will also require a staged surgery to be done over two sessions with or without tissue expanders.... more

Rod J. Rohrich, MD
Dallas Plastic Surgeon

Breast lift to correct tuberous breast deformity

There are several aspects to a tuberous breast, and different degrees of the deformity. Appropriate technique selection depends on an accurate physical examination and diagnosis of the parts of the breast that need to be corrected. Breast lift using a periareolar incision will allow repositioning of the nipple to correct asymmetry.

Olivia Hutchinson, MD
New York Plastic Surgeon

Tuberous breast deformity surgery

There are several aesthetic problems to be dealt with in the tuberous breast patient. 1. the base of the breast is narrow and constricted vertically and horizontally 2. the breasts are often spaced far apart 3. the areola are often dilated 4. there is usually significant asymmetry between the breasts Correction requires breaking the breast down internally and distributing it over an implant using some specialized implantation techniques (Dual Plane etc), lowering the... more

Scott Sattler, MD
Bellevue Plastic Surgeon

Breast surgery for tuberous breasts

Patients with tuberous breasts have many surgical options. Often, patients with this condition have small constricted breasts at the base and a conical appearance to the breast. Many times this affects the size and position of the areola as well. This surgery can be one of the most challenging surgeries in aesthetic breast surgery. For this reason, ensure that your plastic surgeon is a board-certified plastic surgeon who is a great deal of experience not only with breast... more

B. Pat Pazmino, MD
Miami Plastic Surgeon

Breast lift for tuberous breasts

Oneof the features of a tuberous breasts is a large areola. A lift will elevate and reduce the areola to make it appear lifted. This can be done on both sides. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Tuberous deformity

Performing a breast lift for a tuberous deformity can treat the deformity as necessary. This can improve the tight lower pole, the herniated tissue through the areola etc. if done correctly.

Steven Wallach, MD
Manhattan Plastic Surgeon

I would lift both breasts, one more than the other.

To Sugar27, Hi! This is very gratifying surgery because the breasts can look so much better, and patients are so grateful. I would definitely operate on both breasts. You will get much better symmetry. You only need a circular scar around the nipples, and this scar usually does very well. The areolas usually need to be made smaller. After surgery, your breasts should look good whether you are hot or cold. I understand your question, but don't worry about it.

George J. Beraka, MD
Manhattan Plastic Surgeon

You need an experienced plastic surgeon for this procedure

Tuberous breasts can be quite a challenge, so it's important to speak with a Board-Certified Plastic Surgeon who understands the anatomy and can offer you the best option for your surgical correction. This usually involves a breast augmentation combined with some form of mastopexy, and this is usually performed on both breasts. I have not heard patients complain of an unusual reaction to the cold with this procedure in the past, so I would not focus your attention and energy on this... more

Shahram Salemy, MD
Seattle Plastic Surgeon

Treat both sides the same as much as possible

A tuberous breast has a nipple that tends to protrude out too much and a tight base. Generally, you will need to use an implant on both sides and a donut mastopexy to help create the symmetry between the two sides and correct the protruding nipple. The implant size is judged according to your measurements and final size desired. If you do this I have not seen any strange reaction with cold exposure. The reason you see such a significant difference at this time is because of the large... more

Marcus L. Peterson, MD
Saint George Plastic Surgeon

Tuberous breasts is a difficult problem; needs a careful surgeon

Tuberous breast deformity is a difficult problem. Go to a surgeon that does many of these. I usually put the implants above the muscle and score (incise) the breast tissue and then incise the area around the nipple. This will release the deformity and improve it. Patients are very happy after these surgeries as they are much improved. Some need a lift and some do not. It depends on how bad the deformity is. Good luck!

Andrew T. Cohen, MD
Beverly Hills Plastic Surgeon

No, you shouldn't

The goal of the surgery is to gain symmetry and an aesthetically acceptable breast. The constrictive tissue within the breast causing the deformity is treated, and the nipple raised and reduced in size. The temperature and other stimuli should not have a significant impact on things.

Scott E. Kasden, MD
Dallas Plastic Surgeon

Tuberous breast require complex surgery

Tuberous breasts require complex surgery. If you provide a picture, we may be able to give you more specific advice. However, a simple "lift" is likely not all you need. Just make sure that you are seeing an experienced surgeon. Also, in most cases, both breasts are operated on at the same time to achieve the best symmetry. Good luck.