Breast Augmentation Procedure for Tubular Breasts?

asked 2 years ago by joey 18 in home
Latest answer by Tom J. Pousti, MD
Question viewed 1,219 times
Tags: breasts, female, A cup, tuberous

I'm considering Breast Augmentation to improve minor tubular breasts. I am a 34A with a high breast fold and minor tubular shape. I have been told that surgery on my breasts would result in a double bubble effect as a new fold would need to be created, which gravity would improve in time, is this likely to go?

Also, is it completely wrong for the surgeons to simply do a standard augmentation on tubular breasts? Is there a different procedure? I have been told my surgery would involve releasing the constricted tissue however should they be doing more? Thank you

11 answers to Breast Augmentation Procedure for Tubular Breasts?

Tubular Breast Augmentation

There are many different shapes and conditions that are lumped into the term "tubular breast." In each situation, techniques necessarily vary to best correct the specific reshaping needed. Sometimes, augmentation with a few relatively minor adjustments can be sufficient; other times, more complex remodeling of the breast is needed.

Paul C. Zwiebel, MD
Denver Plastic Surgeon

Tuberous Breasts and Implants?

Thank you for your question and picture. Your picture demonstrates breast ptosis probably with some degree of constriction/tuberous anomaly. Thank you for the question. Sometimes for “minor tubular breasts” breast augmentation is all that is necessary to improve the appearance of the breasts significantly. Although a “double bubble effect” is a potential complication it is not necessary an outcome of the procedure ( usually is not) is... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Tubular Breast - Correction

Breast augmentation can help tubular breasts, but there are three things that need to be addressed: narrow base, small and tight breast soft tissue envelope and large areola (sometimes the nipple-areola seem to protrude from the breast). Therefore, during the surgical procedure, there are things done to address all the components of this problem. In sever cases, tissue expansion (using an expander to stretch out the breast envelope) may be needed. As always, this is best addressed with a... more

J. Vicente P. Poblete, MD
Cleveland Plastic Surgeon

Surgical correction of tubular or constricted breast deformity with implant augmentation

Correction of tubular breast typically involves addressing 3 aspects of the "deformity: Small size Large areolae Narrow base diameter Therefore surgery respectively consists of Implant augmentation Circumareolar reduction Radial relaxing incisions

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Augmentation of the breast is a great procedure for tuberous breasts

Some of my happiest patients are those who have presented with tuberous breast. I like to put the incision around the lower half of the nipple areolar complex, release the breast constriction which is making the high grease and split or unfold the lower half of the breast tissue to cover over the implant. I usually go sub mammary if there is enough breast tissue in the upper half of the breast or in a dual plane under the muscle above and under the breast bellow if there is inadequate... more

Carl W. "Rick" Lentz III, MD
Daytona Beach Plastic Surgeon

Breast enhancement for Tubular breasts?

Hi there- Depending on the extent of the lower pole constriction (which give the breasts the tubular shape), various methods may need to be brought to bear on your behalf in order to achieve a pleasing, round shape. I do not agree that surgery on patients with tubular breasts always results in a double bubble that needs to be given time to improve. With good technique, the breasts are round and pleasing immediately. This does usually require a peri-areolar lift technique as well.... more

Armando Soto, MD
Orlando Plastic Surgeon

Reshaping breast tissue much more important than implants for tubular breasts.

Hi. I urge you not to have a simple breast augmentation if you have tubular breasts. In fact you don't even need breast implants, except to go bigger. The key steps are releasing the base of your breasts and usually making the areolas smaller ( a modified breast lift with a scar around the nipple).

George J. Beraka, MD
Manhattan Plastic Surgeon

Augmentation of Tuberous Breasts

Tuberous Breast also known as Constricted Breast or Snoopy Dog Nose Deformity describes a spectrum of different extents of breast asymmetry and deformities which have in common tight constructing breast side walls, a high breast fold and large and pouting areolas. Their correction is best done through a periareolar incision through which the constrictions are divided with several radial cuts (center to periphery) and correction of the under the breast fold and areola as needed. Augmentation... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Procedures for tubular breasts depend on specifics

Not all tubular breasts are the same, and so there are quite a few variations on the techniques used. Occasionally a strightforward augmentation will work, but if your surgeon's judgment is that something different is needed, he or she will not want to do a procedure that won't give good results. Often times a Benelli lift is helpful if the problem is a protruding nipple/areola, and other versions of a lift are helpful in other cases. One approach that I have sometimes found helpful when... more

Richard Baxter, MD
Seattle Plastic Surgeon

You need to be seen and evaluated

It is impossible to answer this question without seeing your problem. Some people just need implants, others require some other modifications. See a plastic surgeon and ask them.

William B. Rosenblatt, MD
New York Plastic Surgeon

Breast augmentation with tubular/constricted breasts

Joey, As you note there are varying degrees of the tubular breast deformity. Although the techniques are close for a traditional breast augmentation there are technical details that will help achieve a better short and long term result. I prefer to use either a lower based areolar incision or an incision all the way around the areola (depending on severity). I also like to place the implant partially under the muscle to give a more natural upper and inner breast look with better coverage... more