What is the best incision method to correct tuberous breast deformities? (photos)

You have significant areolar herniation and a very constricted lower pole.  The periareolar approach in which the areolar herniation is corrected along with a textured shaped implant is the best approach but due to your tight skin envelope, you may only obtain a modest size improvement.  If you would like a larger breast, you may need to consider an expander to stretch the skin before the final implant is placed. 

I appreciate
your question.



Constricted
or tubular breasts tend to be too narrow with a breast crease that is too high.
Tight ring-like bands of tissue around the areolae and nipples may create the
appearance of protruding or puffy areolae. A higher than normal breast crease
may make your nipples appear to be too low or down pointing. Constricted breast
features can be very mild or severe. In fact, mild variations are relatively
common. To summarize, the features can include:Inframammary fold (breast crease) too
highInframammary fold misshapenBreasts too narrow (disproportionately
narrow base width)Insufficient breast skinConstricted or tubular shape, resulting
from tight bands of tissue within breastsProtruding or bulging appearance of
areolae (pigmented area around nipples)



Improvement
is possible and generally includes a breast augmentation, sometimes combined
with a lift (mastopexy). The lift is usually limited to an incision around the
areolae. During the procedure, I release the tight, constricting bands from the
inside, allowing the skin to expand properly. I also lower the inframammary
fold to a more ideal position and improve its shape. Breast implants help
create the right amount of volume and improve breast contours, resulting in a
more rounded or tear drop shape.



The best way
to assess and give true advice would be an in-person exam.

Please see a
board-certified plastic surgeon that specializes in aesthetic and restorative
plastic surgery.

Best of luck!

Dr. Schwartz

Hi,

Thanks for posting your question. I am happy to try and help you.

Tuberous breasts or constricted breasts have a great deal tightness in
the lower half of the breast. So much so that the breasts will not develop in
the lower half. When the breast does start to develop, it will actually grow
and extend into the nipple area and make the areolas dilate and protrude. The
best result would involve a treatment to release the tight bands of tissue in
the lower half of your breasts, and place breast implants. There may be some
degree of lifting. This would be dependent on the size implants and your
natural tissue tightness. The breast crease is the inframammary fold. The
article below will show you pictures of developmentally different breasts.These can be corrected using either incision.

Best wishes,

Dr. Michael J. Brown
Northern Virginia Breast Augmentation