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Best Mastopexy Technique for Tubular Breasts?

asked 1 year ago by rnuch in new york city
Latest answer by Tom J. Pousti, MD
Question viewed 448 times
Tags: tuberous, tubular

Could anyone tell me which is the best mastopexy technique for B size tubular breasts when the patient does not want a lot of scars?

8 answers to Best Mastopexy Technique for Tubular Breasts?

+1

Tuberous Breast Surgery?

Thank you for the question. Some of the characteristics seen with tuberous breasts include a very narrow base, short distance from areola to inframammary fold, tight (constricted) lower pole of the breasts, relatively wide space between the breasts, "puffy" and areola and some degree of ptosis (drooping). Generally, correction of tuberous breast anomalies involves breast augmentation with areola reduction / mastopexy procedure. The distance from... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Breast lift options for treatment of tuberous (aka tubular or constricted) breast deformity

In general, I have found that the circumareolar technique with dual plane approach, radial relaxing incisions and submuscular placement of a high profile silicone gel filled implant to provide the best option for a tubular breast in my experience, see video
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Tuberous breasts

Without a formal exam it owuld be hard to tsay for sure, but in general a few things usually are required.1) to open the lower pole, 2)to reduce the areola and 3)sometimes to implode the breast tissue that herniates through the areola.  Sometimes a donut mastopexy with an implant can help.  If there is enough volume of tissue than several different techniques are available.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

BEST Breast Lift technique for Tuberous Breasts

Tuberous (Snoopy Dog or Constricted) breasts share several characteristics in common; rather than a hemispheric shape they look like a plant tuber root crowned by a herniated , protruding instead of a flat areola. Before embarking on any other modifications (such as augmentation or lifting), the constricting bands along the waist of the breast need to be released. This is best done via an incision around the areola. The same incision can then be used to remove some of the fat that... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Tuberous breast correction should control nipple herniation

The tuberous breast characteristically has a prominent nipple which mushrooms forward on the breast, and a kind of herniation of the the nipple areola as is pushes forward. The skin around the areola is generally constricted or tight, and the skin in the lower part of the breast is also tight. The correction involves augmentation of the base of the breast, and release of the constricted skin, with correction of the mushroomed out nipple. The scar line to expect is that of a... more
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

Breast lifts for tuberous breasts

Most of the time a periareolar lift is all you need plus release of the constricted breast and an implant.  For most tuberous breasts, this combination does nicely.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Tubular breasts are corrected with circular scars around the nipples.

Hi. 1)  You need a modified Benelli-type breast lift with scars around the nipples.  The key steps are to release the contracted breast tissue in the bottom of the breasts (this is done from the inside) and to make the arolas smaller. 2)  There is usually some asymmetry that needs to be corrected. 3)  We often use breast implants at the same time, but that is not a necessary part of the correction.
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

You need to be seen and evaluated

It is impossible to give you a real opinion without seeing your breasts and discussing what you want and what needs to be done. The treatment of tubular breasts can be as simple as an augmentation or a circumareolar mastopexy or a full T scar pexy. Save yourself worry - get an opinion in person.
William B. Rosenblatt, MD

New York Plastic Surgeon

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