Would You Require a "Donut Mastoplexy" Along BA for Small Minor Tuberous Breasts?

asked 1 year ago by 7099anon in illinois
Latest answer by Tom J. Pousti, MD
Question viewed 391 times
Tags: doughnut, tuberous

I would like a BA from A to B cup. I have small minor tuberous breasts. One PS says I should have donut mastoplexy and other say no, that it is not necessary for the mastoplexy and that there is more of a risk of affecting nipple sensation(which I am worried about anyway) Do you think an implant alone can correct a minor tuberous breast shape? Why is the nipple size an issue?

11 answers to Would You Require a "Donut Mastoplexy" Along BA for Small Minor Tuberous Breasts?

Tuberous Breast Correction?

Thank you for the question. For “minor” tuberous breasts correction options very. Sometimes it is possible to use breast implants only without an incision around the areola; patients potentially will contain to have a “puffy” areola appearance.In other cases of “minor” tuberous breast anomaly, breast augmentation and circumareola reduction may be selected as the operation of choice. Which operation the patient chooses will... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

The amount of correction may vary.

Hello, Simple implant placement may not correct the problem as well. Tuberous breasts vary regarding the extent of the problem. Some patients can benefit by more correction than others. In your case, at least one surgeon advises that you have more than simple implant placement. If you are OK with things being less round and maybe the nipple position being lower after surgery, then implant placement alone might be OK. Then again less correction might lead to you being unhappy... more

John P. Di Saia, MD
Orange Plastic Surgeon

Tuberous breasts and nipple herniation

The issue of tuberous breasts comes quite frequently on this site, and you will find several responses on my profile. Tuberous breast shape is formed by constriction of the skin, especially around the base of the nipple causing the nipple to protrude forward. A breast lift or mastopexy is not needed to correct the breast shape. The correction can look like an around the nipple mastopexy, but there is no lifting going on. The nipple herniation can be increased by the pressure... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Require a "Donut Mastoplexy" Along BA for Small Minor Tuberous Breasts

If the breasts tuberosity are truly minor than it is possible to achieve a good result. But without photos posted I can not really address the situation expertly.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Ways to correct Tuberous Breasts

If you have tuberous breasts, restoring form and volume is best achieved through a periareolar mastopexy. Through this approach the augmentation can be accomplished, the breast tissue can be reshaped and the size and puffiness of the areolar can be corrected. Having said all of this, pictures would very helpful. Dr. ES

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Tuberous breast deformity

Photos would really help to answer your question, but in most tuberous deformities, an augmentation and a donut mastopexy can often do the trick.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast augmentation alone will not correct tuberous breasts.

Hi. Hard to know without examining you, but in general this is a bad idea and can create a new deformity. The breasts need to be reshaped internally and you probably need a doughnut mastopexy. Most patients retain nipple sensation.

George J. Beraka, MD
Manhattan Plastic Surgeon

Tuberous breasts and correction with implant only

Most patients with true tuberous breasts have a condition called nipple-areolar herniation. IF an implant alone is placed this could make the areola even larger which may be undesireable. An important part of correcting tuberous breasts may also include parenchymal radial relaxing incisions.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Tuberous breasts

A photo would be key here because there is an entire spectrum of tuberous deformities. Your's might be mild enough to not need a mastopexy, but usually you do need one.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Different approaches to tubular breasts: mastopexy or not?

There are a lot of variables to address in order to answer your question, and only a plastic surgeon who has personally examined you and discussed your goals can give definitive advice. One variable is the different degrees of tubular breast; they are not all the same. Others would be the size of the implants you want, your breast base diameter, and so forth. So having said that, most of the time I think the result is better with a mastopexy (donut/Benelli/periareolar). Sometimes... more

Richard Baxter, MD
Seattle Plastic Surgeon

When you have 2 different opinions, get a third....

It is frustrating when you go to two different doctors and you get two different opinions. My suggestion to you would be to go get a tie breaker opinion and ask questions. Ask to see photos of similar women. It is true that sometimes a mastopexy is needed with tuberous breasts. This is common, but not always, the recommendation. You note that you have a "minor" issue with shape. It is impossible for me to know what "minor" means and... more