Do I have tuberous breasts, and what are my options? (Photo)
Doctor Answers (10)
So here is my opinion. And obviously you will find, and have found, others. The implant should be larger, rather than smaller. Remember that we want it to stretch the lower pole skin. But it should not be too large because we do not want it to bottom out. 450-500cc does seem about right. I do not think you will need a lift. I do not think you need an anatomical implant. They are textured instead of smooth which brings it's own set of downsides (especially as it becomes attached to the surrounding tissues and hence it may ride too high), and something a little more round would appeal more to me aesthetically.
Finally we do not want the muscle to prevent either the adequate lowering of the crease or the weight of the implant from expanding the lower pole skin. Hence the implant should be either over the muscle (sub-glandular) or sub-muscular with a dual plane (the lower half of the implant is essentially sub-glandular). Total muscle coverage is to be avoided in this situation. The downside of the sub-glandular approach is the increased risk of capsular contracture. A textured implant (which I do not favor as I already have said) or a three month course of Singulair (only anecdotal data) might help with this. The downside of the sub-muscular placement is implant movement with muscle activation and the fact that it takes longer post-op for the final result to be apparent.
In breast augmentation I have chosen to spend time reviewing photographs with patients to fully understand their expectation of size and shape. Many times this simply raises more questions. I will make measurements and use the implant guides to allow the patient to understand exactly the sizes that are reasonable for their body type and measurements.
Please find an experienced Board Certified Plastic Surgeon and member of the Aesthetic Society using the Smart Beauty Guide. These Plastic Surgeons can guide you on all aspects of facial surgery, breast augmentation and body procedures including tummy tucks or mommy makeovers!
You do not have tuberous breasts. Breast implants can improve the appearance
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Do I have tuberous breasts, and what are my options?
John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon
Anatomic Implants for tuberous breast treatment
It appears you have a mild to moderate tuberous breast shape. Tuberous breast can vary and it can range from mild to severe. Severe cases will often need tissue expansion, and a staged reconstruction
Based on the photos your case appears mild, and there is reasonably good symmetry. In these cases it is often necessary to lower the inframammary fold and release any tight or constricted breast tissue in the lower breast. I believe the anatomic shaped implants work very well in cases of mild tuberous breasts and they can be placed in a subglandular position to optimize the stretch on the lower pole. Make sure to visit with a board certified plastic surgeon and be comfortable with the surgical plan.
Tuberous breast best treated with shaped implant
Tracy Pfeifer, MD, MS
You need a submuscular breast implant and a vertical mastopexy.
You do not have a tuberous breasts
Type of breast lift is determined by assessment of breasts at time of consultation. It also is determined by size of implant that will be used.
You should not be lost in all the name designations of lifts.
Everone needs the lift that does the job of creating a pretty breast.