I Have Tubular Breasts and Was Told by Doctor to go Over the Muscle, is this Best? Doctor Answers, Tips
Breast Augmentation: Q&A
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I Have Tubular Breasts and Was Told by Doctor to go Over the Muscle, is this Best?

Height-5"7 Weight-120 Bra size currently-32/34b Want small D Getting high profile 500cc textured silicone

9 Doctor Answers | Asked by SaraAngelo89 in Las Vegas, NV
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Tubular breasts and implants over muscle

I can't say with certainty because I have no picture and no exam. In true cases of tuberous breasts, yes going above the muscle can have some good benefits compared to under the muscle. The shell of the textured implants is thicker and can sometimes be felt...but textured implants may lower your chance of capsular contracture since the implants are going over the muscle. I hope this helps. I wish you well.
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Tubular breasts

In my experience,to get the best looking breasts, I not only usually recommend going on top of the muscle but also do a modified uplift to try to achieve a more natural sloping breast.
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Placement of large implants over the muscle never a good idea

Correction of tuberous breasts can be challenging. Placing implants over the muscle can be a quick fix, but in the long run can do more harm than good. There are a number of techniques that could be used to correct this type of breast deformity. So It would be helpful if you could re-submit your question with photos. As every case is different, I find it best to narrow down the number of options best suited for you. Best regards, Dr. H

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+2

Tubular breasts and pocket for implants

Without an exam, it is difficult to say what would benefit you in terms of pocket choice for your possibly tuberous/tubular breasts.
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Subglandular implants for tubular breast

Over the muscle is best for tubular breasts. If the implant is under the breast tissue, it will expand the tissue better and have more impact on breast shape. It's hard to comment on the specifics: implant size, textured vs. smooth - without seeing photos. Best of luck!
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Tubular or constriicted breast and augmentation

Sara, It is difficult to give much advice without examining you or seeing photos. There are differing philosophies amongst plastic surgeons regards treatment of the tuberous breast. My approach is traditionally placing the implant partially under the muscle to provide better coverage of the upper inner implant looking for a more natural look. You may have ample tissue to cover the upper implant but the area of the breast primarily involved in a constricted breast is the lower part of the... more
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Tuberous Breast, Augmentation

The tuberous breast creates more of a challenge in getting a nice result and often requires the surgeon to be a bit creative. The deformity comes in a surprisingly large number of variations. It may be best in your case to go over the muscle if you have an adequate thickness to the breast tissues in the upper breast. It would be impossible to tell withou a good set of medical quality photos. In general, I find I get the best results with a subpectoral dual plane implant placement coupled... more
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Treatment of Tubular Breasts

Thank you for the question. Tuberous ( constricted) breasts are characterized by a wide spectrum of presentation including constriction of the breast base, glandular and skin hypoplasia (especially at the lower quadrants), mal-position of the infra-mammary fold, breast tissue herniation into the areola region and sometimes increased areola diameter. Generally, correction of tuberous breast anomalies involves breast augmentation with areola reduction / mastopexy procedure.... more
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Either above or below the muscle can work

Tuberous or tubular breasts typically involve some degree of constriction of the breast tissue, a widened areola with some protrusion and a higher fold beneath the breast. It is important that you and your surgeon recognize the condition preop to help with planning. Important technical details include incising the tightened breast tissue, then expanding it internally at surgery and over time with the implant (if severe, a postoperatively adjustable implant can be considered). ... more
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