Severe Tubular Breast Augmentation, How Can I Best Prepare For Surgery?

i have this deformity that i really want to get fixed before summer (2011) is over. i originally didnt want implants but have decided that silicone is really the best choice here and i will be much happier with the results this way. is it even possible with my deformity to have "natural" looking breasts? is there anything i can do pre-op that will help my surgery go much smoother? my consultation isnt untill next week but i want as much info as i can get beforehand.

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10 Doctor Answers | Asked by Bambi369 in Castro Valley, CA

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Tubular breasts and options for correction

There is more than one treatment for your condition. A silicone implant is the best choice if you desire an implant, however, your breast will look like breast implants, though this is a look many women are looking for today. You can also have fat grafting, but due to your small breast size and depending on whether you want to be significantly larger, you will need several sessions of fat grafting to achieve a larger cup size. A third alternative is to do both an implant... more

Cohesive Gel Implants and Areola Reduction

This type of tubular breast deformity is very severe and it demands a high understanding and experience with this kind of breast deformity. Sometimes there will be a need for 1-2 further more corrections, there are many ways for the correction. In some cases the skin will be prepared with a saline expander ( tissue expansion ) before the implants are placed. Probably there is good option for cohesive gel implants, for example the gel implants from Allergan ( Natrelle MF or MX ). In the... more

Tubular breast augmentation

You do in fact have a severe form of tubular breast deformity, and although this is not easy to correct, I think that you have a good chance of a significant improvement and a more natural breast contour. You mention that you originally did not want implants. If you are accepting of your current small breast size, the repair is much easier. You would have a periareolar breast lift with an incision around the areola to "telescope" in the areola, make it smaller and less... more

Tuberous breasts

There really is nothinhg for you to do prior to surgery for your tuberous breasts to assist surgery. You should avoid blood thinners.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Tubular Breast Correction with Augmentation

The surgical correction of the tubular breast is challenging. It is important to see a board certified plastic surgeon who is experienced in this area and you should prepare yourself by having realistic expectations. A significant problem in the tubular breast is the skin tightness across the lower portion of the breast. This then causes the breast tissue to push out or "herniate" through the areola. Correction involves reducing the fullness of tissue in the areola and... more

Tubular Breast Deformity

A tubular breast can be a complex problem and the first step in preparation is to know that you have the most severe form of this problem. This is not a problem that can be solved by the end of the summer. However, with the right procedures and an experienced plastic surgeon you can hope for a great deal of improvement. In my opinion, you will need 2 procedures. In the first the large areola and "herniated" breast tissue behind it would be reduced and a tissue expander inserted... more

Severe Tubular Breast Augmentation, How Can I Best Prepare For Surgery?

You need in detailed evaluations, discussions on the stages of your surgery. In my opinion at least 3 stages will be needed.

Choosing a surgeon

The best things you can do before surgery are: see more than one surgeon because your case is not one of the more common ones and choose your surgeon carefully make lists of questions to ask at the time of consultation make a check list to compare surgeons and good over it carefully before picking one follow your surgeons instructions before and after surgery in order to get the optimal result make sure the surgeon can set a realistic view of the end... more

Complex tuberous breasts, expectations, and adjustable saline implants

You have very complex tuberous deformities and you need a very experienced surgeon for the best result, not a rookie and not a fake plastic surgeon ("cosmetic surgeon"). Also, you need to understand that "better" or "improvement" is the proper expectation, not perfect or normal looking. Also, given the complexity of this, don't put time restarints on getting the result. I would personally advocate an adjustable saline implant, not a gel... more

Correction of severe tubular breasts

You will need to undergo an areolar reduction along with removal/ adjustment on the herniated bresat tissue along with implants. This is a fairly complicated surgery - be sure your surgeon can show you before and afters of similar patients and that you agree on the plan. Your breasts are "natural", it is just that they develpoed abnormally. With appropriate correction, your breasts can take on a much more "normal" appearance which should... more