I'm 18 and I've had this problem since my boobs started growing in 5th or 6th grade. Very little has changed since then, other than the areolas are much more puffy and ive sprouted a little more breast tissue. I want to get them fixed. Can i do this without implants? and if so, about how much would this cost?
Age 18 - Is There Any Hope for Me?
Doctor Answers (19)
Snoopy Nose, Tubular Breast or Tuberous Breasts
Dear Bambi369 in Castro Valley, CA:
You have tuberous breasts with a small amount of breast tissue, Unfortunately, most your breast tissue is "herniating" into your areolae (the pigmented skin around the nipple). It can be corrected without an implant, and the result will be fairly flat. Since tubular breast are often associated with small breast, it is common to use breast implants to increase the bust size at the time of surgery. Fat grafting to the breast was abandoned, with good reason, in the past. More work is being done currently in this area, but it still should be approached as experimental procedure that is best performed under appropriate research protocol.
You have a severe case of tuberous breasts as you already most likely know. The surgery will require careful reduction of the tissue herniated into the nipple complex and scoring of the base of this tissue to open it up. You could put in breast implants at the same operation. If you want fat grafting instead of implants you cannot do the grafting at the same time as the tuberous breast surgery because that will diminish the ability of the grafted fat to survive. Since you will need more than one grafting session to achieve a desireable result I think it will end up costing you much more for all those procedures than a single tuberous breast correction and breast implants. Given the severity of your current condition there is no guarantee that one operation is all you need though it should be in good surgical hands.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.
Good news, there is definitely hope
thanks for posting your photos, I know it takes a lot of courage just to ask for help. you have a severe case of tuberous breasts or constriction. implants with or without expansion has been the standard along with "parenchymal scoring". recently, vacuum expansion (BRAVA, look it up on the net) with fat grafting has shown promise for augmentation if you want to try to avoid implants. speak to a board certified plastic surgeon and start considering options. remember there is no rush. take your time and make a decision you feel comfortable with. good luck, it may be a bit of a bumpy road but I know it can be well worth it.
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There is certainly hope for tuberous breast deformity
Your photos show fairly severe tuberous breasts. The surgical goals include reducing the size and prominence of your areolae, and getting some volume to provide breast shape. This is typically done with implants, and plastic surgeons will usually need to do some internal release of some of the fibrous breast tissue that is causing your current constricted shape below your areolae. Fat injection may be an option, or as an adjunct to implants. I would be concerned that the BRAVA would stretch your already puffy and stretched areola tissue more than the surrounding tight breast tissue and skin. I don't use that device, so if you are considering that procedure, obviously seek out someone who uses it and make sure they have experience using it on breasts like yours.
Hope for a tuberous breast shape
We hear many questions about a tuberous breast, though your breast is the truest example. The good news is that your breast will work as any other, and even breast feeding is possible if that is on your future list. You can have just the nipple herniation reduced or corrected though we would suggest an implant as well to stretch the skin envelope and give better shape and projection to the breast. If you are not in favor of an implant structural fat grafts can be helpful for more modest breast shaping. Be very careful about which surgeon you select as correction such as yours may be out of the ordinary for some cosmetic surgeons.
Best of luck,
Web reference: http://www.peterejohnsonmd.com
Yes! There is hope
Any hope for me ??
This is a pure condition of tubular breast sindrome , showing a big deformity of mamary gland , herniation of areola nipple complex , and tubular breast tissue
you should choose a very experienced plastic surgeon in these cases to obtain the best results in this condition .
you will need radiation of nipple , and breast tissue , creation of new inferior mamary fold , plus breas augmentation with smoooth implants located under muscle . My recommendation make uo your mind, and plan your surgery because it will change your whole life !!
Correction for tuberous breasts
Yes, there is hope for you. Thank you for the courage to post your photos. As you know, you have severe tuberous breast. Correction would require an areolar reduction resulting in a scar around the areola and a vertical scar from there to the crease below the breast. If you want implants, this can be done at a late date when the breast is fully healed. This can give you a very attractive breast shape. Neither your problem nor the surgery will not interfere with nursing at a later date. Good luck with this. Try to find a surgeon with experience in correction of this specific problem.
The primary option for breast size alterations is fat transfer to the breasts and I would not be recommending this to you at 18. You may change your shape in the next few years or just be stable. Allow yourself a few more years, then consider some options including an augmentation and fat transfer. Consult with a Board Certified Plastic Surgeon for this decision as they will offer you sound advice.
Web reference: http://www.elitemdspa.info/
Tuberous breast deformity
For a young woman your age, I would recommend having a periareolar breast "lift" as a first step. Your areolar size could be reduced and the breast tissue that is "herniated" into your areolas can be pushed down into the breast mound. This would leave you with small, but shapely breasts and probably would not compromise your sensation or ablilty to lactate.
After you had complete healing of the "lift", you could consider implants or perhaps the BRAVA and fat grafting procedure mentioned by several of the respondents.
Seattle Plastic Surgeons, Dr. Lisa Lynn Sowder
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.