Can I Correct Moderate Tubular Breasts with Fat Grafting
- Asked by Ms.Elle in Toronto, ON
- 2 years ago
I'm deeply uncomfortable with my breasts. I'd like to increase their size by about a cup size to a full B or a small C, but my main complaint is the shape of my breasts instead of being teardrop shaped or round they are cone shaped & I think? tubular. I will absolutely not consider implants but am hopeful for improvement with fatgrafting, is this possible? Would OHIP/private insurance cover any of the cost? What sort of cost am I looking at? How is does using BRAVA for fatgrafting make a difference
Fat grafting is ideal to improve the shape of breasts
The beauty of fat grafting to the breasts s that the fat can be placed exactly where needed. For the best results, preexpansion with the BRAVA® device is preferred. The BRAVA essentially stretches the tissues so that more fat can be accommodated with more predictable take of the graft. Up to 90% take has been shown with this process.
The procedure also requires release of the tissues during the grafting procedure which is done with a technique called Rigotomies. The procedure is still cosmetic, so it is unlikely your insurance will cover the procedure. I presently participate in a multiinstitutional IRB study using BRAVA and fat grafting for breast augmentation or reconstruction
based on the one view you show, the areolae are not herniating, the IMF is not overly high and your base width appears adequate. if you are dead set against implants then I would consider grafting. the augmentation will be modest but the improvement in shape, may be worth it. the BRAVA is intriguing and I suspect it may have a more prominent role in micromastia but not so much in your case.
Tuberous breast correction with fat grafting
You can add volume to the breasts with fat grafting, but this will not correct the underlying problem of tuberous breasts, which is the constriction at the base of the breasts. As a result, you may end up with a result in which you have more volume, but the shape remains the same. I have not seen any studies on the use of the BRAVA device for tubeorus breasts, but I suspect that this will create the same issue: more volume without a change in shape. Although you are not interested in implants, this does give the surgeon the most flexibility with correction, as it allows us to release the tissues while adding volume predictably. The implant also serves as a base which supports the released tissues. I suggest checking with your insurance carrier regarding coverage; in the US, almost no insurers will cover correction of the tuberous breast. Best wishes, /nsn.
Recent Fat Transfer Reviews
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Tuberous Breast Surgery
As others have stated, fat grafting will add volume, but you really need surgery to correct any anatomical defect and change the shape of the breast. Otherwise, you may just end up with a larger version of what you have already.
Web reference: http://www.ShaferPlasticSurgery.com
Fat Grafting and Tubular Breasts
Having looked at your photo but without the opportunity to examine you, and without the benefit of a lateral view, I can safely say that fat grafting in the subcutaneous layer would fill out the depression in the upper part. If you wished to move the nipple-areola complex higher and/or closer to the chest wall, surgery would be required.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.