I'm having breast augmentation surgery to correct my small (symmetrical) tuberous breasts. I do not want much upper pole fullness or projection. I want my breasts to stay quite small and have a very natural slope. My doc (who specialises in breast rconstruction) has ordered Mentor 220cc silicone gel anatomical implants. He says they will not rotate if the pocket is the right size. Many docs on this site seem sceptical about anatomicals/textured. Are these implants right for my condition?
Small Anatomical Implants for Tuberous Breasts?
Doctor Answers (4)
Tuberous Breast Correction Requires More Than Implants
If you truly have tuberous breasts, simply augmenting with any implant won't fix the problem. Tuberous breasts require almost a more reconstructive procedure along with implants. Tuberous breasts have breast tissue that has herniated into the areola which causes the nipples to be puffy. This defect needs to be corrected for a nice result. Tuberous breasts also usually need the nipple/areola to be moved up like in a mastopexy or breast lift because there is proportionally too much skin length above the areola compared to the distance from the areola down to the inframammary fold. Without fixing these 2 issues, I don't think you'll have a good result no matter what implant is used.
Implants for Tuberous Breasts
Without the benefit of pictures, some general thoughts:
tuberous breasts correction usually involves releasing a tightened infra-mammary fold area;
expanding the soft tissues;
sometimes doing some work n the nipple-areola area.
Some can be treated with implants, others require tissue expansion, this is all dependent on what you are starting with. Good Luck in this undertaking. J. Vicent Poblete, MD, FACS, Avon Lake, OH
Your specifc measurements and body type should drive implant choice
Your specific breast measurements and body type should drive implant choice. Both the anatomic and round could work well but its actual selection must be driven by the details of your breast measurements.
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Textured anatomic implants
Your question as it pertains to your particular problem is a hard one to answer without more clinic information (photos, correct diagnosis, etc) But in general, I find that anatomic implants don't make quite the difference that is touted because once the body recognizes a foreign body (i.e implant) it will immediately begin to wall it off into a capsule which will often contort the anatomic implant to lose it's shape during the encapsulation process. I find that round implants are easier to put in, with less chance for malposition due to its symetric shape. By no means do I think an anatomic implant in your case is unwarrented. Best of luck to you.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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