Breast Augmentation: Q&A
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Best Procedure to Fix Ptosis and Tubular Breasts?
My breasts were always very tubular and oddly shaped. I dealt with weight gain and loss throughout high school(Bs to DDs). I want pre-consultation insight from a few doctors or patients that are familiar with the different types of surgeries available, mainly the ones best suited.
How hard is it to fix my ptosis, skin sagging, over larged nipples and tubular breasts? $ is not an option when it comes to my body. What ways can I combat scarring being that I'm bi-racial? I am 5'10 145 lbs 20y/o
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22 Doctor Answers |
Asked by
nothing
in louisiana
+2
Breast augmentation together with breast lift
Your photos do not look like tubular breasts to me. They look more like drooping or ptotic breasts from the front but on side view the nipple is not below the breast crease. That is psuedoptosis. This is probably related to the weight gain and loss you described. The photos show divergent pointing nipples, stretchec areolae, asymmetry with the left breast narrower and hanging lower than the right. To even the size you will need to remove tissue from the right or add different sized implants...
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Los Angeles Plastic Surgeon
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Breast ptosis and tubular breasts
The photos you provided demonstrate mild to moderate ptosis with large areolae and asymmetry of breast size. If you also want your breasts to be somewhat larger, I would recommend bilateral breast augmentation combined with a "mini" breast lift where the areola is lifted and reduced in size while avoiding the vertical and horizontal "anchor-like" scars. Good luck.
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Tuberous breasts (tubular breasts) : there is a solution!
Your breasts do have some features of tuberous breast deformity although they are very mild in this spectrum. 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.
All the best,
Rian A. Maercks M.D.
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Not tubular breasts
Hi,
I agree with the other surgeons here that you do NOT have tubular/tuberous breast deformity. You do appear to have ptosis, or overhang, of the breasts, and yet you also have a fair amount of volume, as judged solely from your photos. A good board-certified plastic surgeon can give you an idea of the projection and volume you would retain with a lift alone (I would suggest you need a vertical lift), vs. a lift with implants. I caution you that augmentation alone is likely to leave...
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Tuberous breasts and breast augmentation
Tuberous breasts tend to be narrow at the base and are overly projecting for their size, and this phenomenon may occur on one or both sides. In its mildest form, the lower pole of the breast is underdeveloped or may even appear constricted - sometimes referred to as a 'constricted lower pole'. In severe cases the breast is conical in shape and is sometimes described by the patient as looking like a 'torpedo' or a 'Snoopy dog'. Regardless of the degree of tuberosity,...
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You need mastopexy & fat grafting.
You may do well with a peri areolar breast lift combined with fat injection augmentation to achieve symmetry & right size for you.Fat grafting can achieve a better result provided your surgeon is experienced in it.
India Plastic Surgeon
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You have a mild form of tubular breasts
You a mild tubular breast form with what appears on your photo to be a good tissue envelope. Lowering your inframammary fold through a periareolar approach with circum areolar mastopexy and areolar reduction is a good plan. Furthermore, placement of a submammary cohesive gel implant will likely yeild better shape with less chance of the waterfall or late double bubble look from descent of the breast. You should use silicone scar sheeting on the surface of your healing...
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Breast augmentation with lift
It looks like you could use a circumareolar lift or " donut lift " where the scar is only around the areola and an implant. The large areolas can be reduced when doing this procedure and there is minimal scarring compared to a vertical lift or a full lift.
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Correction of Breast Sagging or Ptosis, and Tubular Deformity
To correct a combination of breast sagging or ptosis along with tubular breast deformity requires a peri-areolar breast lift or mastopexy. Tubular breast deformity is not uncommon and is associated with an narrow breast width and wide areola. This breast deformity can be fixed with a mastopexy. You need to also know that their is a higher rate of recurrent breast sagging with tubular breast deformity.
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Tubular breasts and Ptosis
Tubular breast defines a breast that has a constricted breast base (under portion) and a widened areola. Often the breast tissue will herniate through the nipple areola complex, so that it looks like a tube.
Ptosis refers to nipple position. This can best be evaluated in a lateral photograph. Normally, the nipple is at the same level as the fold. That is Grade I ptosis. In Grade II ptosis, the nipple is lower than the fold. In Grade III ptosis, the nipple is pointing towards the floor...
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Ptotic and Tubular breast
It really depends on what you are trying to achieve. Enlarging the breast with an implant can correct much of your problems, but you may not want to have larger breasts. A Peri-areolar lift (incision around the nipple/areola) can improve the ptosis and tubular shape with minimal scarring. There are hybrid type procedures that may be applicable. A vertical lift will give you the most reliable result but does add an additional incisional scar.
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Correcting breast ptosis (droop), large areola & slight asymmetry
Based on your photos, you do not have tubular breasts. Instead you have ptosis, large areola and slight asymmetry. Augmentation alone is not really an option since you would end up with larger breasts that will still be ptotic in nature. A periareolar mastopexy with a variable augmentation will give some improvement and the scars are limited to just around the areola. Unfortunately, you will not obtain a significant elevation - only a couple of cms - but you can make the areola...
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Breast ptosis, asymmetry, and large areolas.
The best and ideal advice can only be given after a full consultation with a board certified plastic surgeon. From your pictures, I would recommend bilateral breast lift with implant placement. I believe you will need a full mastopexy or breast lift.
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Best procedure to correct ptosis and a tubular breast.
You have breast ptosis, asymmetry with the right breast being bigger and large areolas. You do not have a tubular breast. You have a few choices. 1) If you are willing to accept scars a periareolar mastopexy with slight reduction of the right breast could improve the appearance of your breasts. 2) You can get better lift with a vertical mastopexy, but this will add a vertical scar from the areola to the fold under the breast. 3) If you want less visible scars, you can have augmentation with...
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Breast lift
The easy answer to your condition is breast lift, this would reduce the size of the areola and give you a better shape. Whenever you do a lift the breast will be smaller. If that is fine with you then you only need a lift. If you desire an increase in breast size or maintaining the same size then I would recommend adding an implant to the lift. Good luck
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Breast enlargement and correction
To improve the appearance of your breasts, I would ask you if you want implants or not. Adding implants can give you a more shapely breast appearance and correct the volume asymmetry (from the pictures it seems your left breast is smaller than your right breast)
I would also recommend an areola reduction and areola lift.
If you do not want to have implants you would need a vertical type of breast lift that would allow for reshaping of your breasts, and a small removal of tissue...
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Best Procedure to Fix Ptosis and Tubular Breasts?
Your breasts are tuberous and ptotic with their hallmark :very large areola.
You need a parenchymal lift ,reduction of the areolar size and correction of the minimal constriction.
Because of your young age the attention should be to minimize the scars and limit them just to the periareolar scars(circular).
To this end find a plastic surgeon whose certified by the ABPS and whose results fit your desire.
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Breast ptosis
It seems from your photos that you have ptosis but not a tubular deformity. You could benefit from a lift with or without implants if you want to go bigger. Your areola would also need to be reduced to give you an aesthetically pleasing look to the breasts.
Good luck !
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Ptosis vs. Tubular Breasts
From your photos, it doesn't appear that you have a tubular breast, but you do have mild ptosis or droop to the breasts. You would benefit from a lift of the breasts repositioning the nipple higher on the chest in combination with an implant to help give you a rounder, more attractive shape.
Best of luck
Vincent Marin, MD, FACS
San Diego Plastic Surgeon
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Breast ptosis
It looks more like you have ptosis of the breasts rather than any tubular deformity. This can be corrected with a lift. If you want more volume, then you can have implants as well.
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You can get a great result.
You don't appear to have truly tubular breasts. You are asymmetrical with the right side larger than the
left. I would recommend a reduction in size of the right breast with a lift of both breast, including a
reduction in the size of the areola. This will make you smaller in size, so you will need an implant
to restore this loss of size. Implants will also help support your breast position. You have enoughj
breast tissue so that you could...
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Your breasts are not tubular.
Depends on what bothers you the most -- seek the opinion of a qualified , board certified Plastic Surgeon. It looks as if your nipples are stretched and y our breasts are only at most grade one ptotic. Thus implants might do the trick.
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