Breast Augmentation: Q&A

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How Would You Go About Doing my Surdery? (photo)

What would be the best way to put implants in. Would I need a lift if I go under the muscle? Am I tuberous? Is it possible to get a natural look with my breast? Also I breast fed for a year. I am 26 135 lbs and 5 6. Thank you

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21 Doctor Answers | Asked by blk11

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Tuberous breast

There are a number of features that define a tuberous breast: •Wide and puffy areolae •widely spaced breasts •high breast fold •constricted lower pole (deficient tissue in lower half of the breast •minimal breast tissue •high breast fold •narrow base of the breast Most of these are apparent in the posted photos. Only at an in person exam can a sensible plan be made. I would speculate that a breast augmentation with implants and a breast lift would be... more

Tubular (tuberous) breasts

Hi there, You do have tuberous breast deformity. Correction will be ideally performed with a combination of reshaping the skin envelope and correction of the central herniation of the nipple with a periareolar incision, and expansion of the lower pole. Implants would probably allow a fuller lower pole if you desired larger breasts as well. If you were averse to implants, correction of the breast envelope shape and fat cell grafting is an options as well. It is... more

Tuberous breasts

Yes you do have tuberous breasts. I would recommend a periareolar incision with submuscular implants and a Bennelli/ periareolar lift

Tuberous breasts

Yes, you have tuberous breasts. My suggestion for you, based on your pictures, would be a peri-areolar (aka, donut or Benelli) breast lift procedure with the addition of implants placed under the chest muscle. This would result in a perkier look to your breasts, smaller areolae, and more volume to your breasts from the implants. The trade-off would be a scar around the areola on each side.

Breast Lift and Augmentation

My recommendation would be a submuscular silicone implant with a mastopexy (breast lift) at the same time. This will allow for added volume and improved shape for your breast. Good Luck.

Breast augmentation choices

As plastic surgeons we are experienced in dealing with multiple breast shapes. Your individual anatomy is all that matters. You have a widened areola with a tight high inframammary crease. You also have less than 4 cm of breast tissue in the four quadrants of your breast. There are many options that you can consider. If you would like a large full breast then placement of an implant above the muscle may be a choice however you can expect your areolar diameter to... more

Not A Straight Forward Breast Augmentation

Thank you for your pictures. The first thing I would do would be to examine you and obtain your breast measurement. Your breast enhancement is not straight forward. I would not say that you have tuberous breast deformity (constriction of the breasts with herniation/protrusion of the breast tissue into the nipple areola area). I would suggest a dual plane augmentation with silicone gel implants. Will probably need a lift but I would base my decision on your... more

TUBEROUS BREASTS

You definitely have some characteristics of a Tuberous breast. To correct your problem you will need a circumareolar mastopexy with areolar reduction, breast augmentation and release of any soft tissue constriction. Consult with a Board Certified Plastic Surgeon in your area.

This is how I would do it

You have features consistent with constricted and tuberous breasts. Short distance from your nipple to your inframammary fold. You also have a wide cleavage gap and a narrow breast diameter. I would approach your breasts with autologous fat transplantation. I would liposuction fat from areas in your body where you do not want It. II would then Transplant this fat into your breast subcutaneous tissue to fill out the mounds. I would also lift your breast by performing a Areolar... more

Best Breast Surgery for Me?

Thank you for the question and pictures. Yes, I think that your breasts do demonstrate some of the characteristics seen with constricted (tuberous) breasts. You may find the attached link discussing constricted/tuberous breasts helpful to you. I think you will most likely be best off with an operation involving breast augmentation as well as breast lifting. In my hands, I would prefer the use of the sub muscular ( dual plane) breast implant position along with a... more

Constricted or tubular breast can be fixed with a breast augmentation.

Breasts with a narrow base (constricted) are and anatomical variation that can be corrected with a breast augmentation, placed above the muscle after the surgeon has released connective tissue to expand the base of the breast.

Breast Augmentation and Lift for Tuberous Breast Deformity

A breast augmentation is usually necessary to augment the micromastia or relative hypomastia. Under the muscle is safer from a blood supply and nipple areola necrosis standpoint if a lift is to be done. The lift recommended classically is a donut lift in this case. More extensive lifts frequently produce tighter, more symmteric breasts with more medial fullness.

Surgery options with breast augmentation.

Thanks for your question. There is no one way to perform breast augmentations. Part of being a good surgeon is the practice of sitting down with patients and listening to them and educating them so they can make good well informed decisions. In your case you could place the implants on top of the muscle. This would allow for little to no scars which is a consideration due to your being african-american and having a potentially higher chance for keloid scars. ... more

Breast lift with implants placed under the muscle

Breast lift with simultaneous implant surgery can solve the problem that many women develop after having children or losing a significant amount of weight which is loss of upper pole fullness, combined with ptosis, or “sagginess”, of the breast. The main difficulty with this operation has been achieving long term results – in other words, helping to prevent “bottoming out” of the implants and loss of the upper pole fullness that placement of the implants was designed to... more

How to treat a tuberous breast shape.

You have a classical tuberous breast shape to your breasts, and would need a circumareolar breast incision pattern, with an incision made surrounding and reducing the areola. To broaden out the width of the breast I would also place a silicone moderate profile implant(textured) below the breast tissue(submammary). If you chose to not have a breast implant you would be a candidate to have your own fat tissue used as a fat graft, placing this in multiple areas around the breast... more

How Would You Go About Doing my Surgery?

There is often in plastic surgery more than one way to deal with a given situation. Based on your photos I advise a circumareolar or donut mastopexy, combined with an anatomic (tear-drop, 'gummy bear') implant. I am not generally a big fan of the donut breast lift as it can produce significant areolar deformities. However, in your case I think it would be useful to reduce the areolar diameter. Your breasts are indeed tuberous. I believe that an anatomic or tear-drop implant,... more

Various options

Thank you for your question and your photos. Looking at these you have a wide distance between the breasts. You also have a high and tight crease with a relatively wide areola. In my hands, this is best treated with an implant placed beneath the muscle via and inframammary fold incision. I would try to lower your crease and would also score the lower gland to allow it to round out some. I would then separately perform and lift and areolar reduction using a short scar technique. I don't like... more

How Would You Go About Doing my Surdery?

My BEST recommendation is to seek only IN PERSON evaluations from boarded PSs in your city. You will need a series of operations to achieve an ideal appearance to your breasts

Breast augmentation for differently shaped breasts

Technically, I'm not inclined to call your breast shape "tuberous." You have widely spaced breasts with a narrow base. The pictures appear to be shot looking upward, so it is difficult to be 100% sure, but it seems that you have significant droop. If you go under the muscle, in my opinion you would need a lift as well. I think it could be confined to a scar just around the areola, which can also be used to narrow the diameter of the areloae. Good luck.

Breast issue

You have tuberous components and certainly could benefit from implants and a lift. Best to be evaluated in person.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Your are a great candidate for breast surgery

My recommendation would be placement of breast implants through an infra-mammary incision, in your breast fold. This has the lowest risk of capsular contracture. The implant position should be in dual plane to allow the implant to protrude at the best, most natural appearing position. The medial portion of your breast is a little deficient and so some extra dissection here will allow this area to round out while a breast lift is performed to fully rejuvenate your appearance... more