Correction to Tubular Breasts Without Areola Reduction

If mild case of tubular breast, without need of a lift. I want implants (small, like 250 CC) and internal incisions to correct the tubular deformity, but can all that be possibly done witout a reduction of the areolas (incision all around)? They are 4,5cm, maybe a little bigger than normal, but they dont butter me that much. I'm scared of the scars...

Tags:

Comment on this

7 Doctor Answers | Asked by Lea1001 in Quebec, QC

Doctor Answers (7)
Community Comments (0)

Tubular breast deformity correction & breast augmentation

It is almost always necessary to make a periareolar incision and to correct the size of the areola and release the soft tissue constriction around the areaola in a tubular breast. This is true because even if your areola does not seem too large now, it will stretch out after implant placement and it will continue to stretch even after-wards. Obviously, I have not seen your pictures and have not examined you to be able to tell you the full story!

Tuberous Breasts

Dear K. in Montreal, Tuberous breasts, if mild, can be improved with implants alone, although usually a peri-areolar mastopexy is needed to correct the tissue that protrudes (herniates) into the areola. If you have any concerns, by all means have the implants alone, and pursue a mastopexy (with its incisions all the way around the areola) only if needed in a second stage. Two-stage techniques give the surgeon greater lattitude in making corrections and optimizing the... more

Tubular breast correction without peri-areolar incision

HI, You do not need a peri-areolar incision to correct mild tubular breast deformity. An incision in the breast crease for the implant insertion with scoring of the internal breast capsule will help to spread the tissue out over the implant. You may still have protrusion of the areolae, but if it doesn't bother you then that is fine. I perform many augments this way on patients with mild tubular breast deformity and have had excellent results. All my best, D. Medalie, MD more

Maybe.

Kyana, Tubular breast deformities come in all shapes and sizes. It can be a very difficult problem to reconstruct. If it's not too severe, a single incision with internal incisions in the breast tissue to allow it to spread out may be all that is necessary, in addition to a small implant. There has to be an incision/scar somewhere. If you don't want a scar around your areola, have the incision in the fold of your breast. If you think the... more

Tubular breasts

Without photos it is difficult to say but perhaps possible. Usually the areola need to be reduced because the tissue herniates into the areola, and the base is narrow and needs to be widened.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

TUBULAR BREASTS

Hi Kyana, Since there are different degrees of tubular breast deformities photos would be helpful. An areolar reduction is not always necessary but in most cases will provide a more aesthetically pleasing appearance. If you are planning on an areolar approach for the Breast Augmentation the additional scarring probably will not be significant. You are selecting relatively small-sized implants which probably will not have that great of an affect on areolar stretching... more

Please send pictures

The size of the aerola may be OK with you now ,but imagine the implant under the breast tissue causing more stretching and enlarging the nipple-aerola complex. You can get the implant first and lift later which is also safer. The other option is fat grafting with or without lift.