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Do I Need to See a Specialist for my Tuberous Breast Augmentation?

asked 1 year ago by FinallyFindingMyself in Minneapolis, MN
Latest answer by Francis (Frank) William Rieger, MD
Question viewed 1,254 times
Tags: qualifications, specialist, tuberous

I have consulted with and put non-refundable money down with a doctor who is a fully trained General Surgeon and Board Certified Plastic Surgeon. He has performed quite a few augmentations. However, after discovering that I have tuberous breasts with asymmetry, and that this takes some additional skill to treat, I am wondering, do I need to see a surgeon who specializes in this? Or should my doctor be capable of handling this?

22 answers to Do I Need to See a Specialist for my Tuberous Breast Augmentation?

Tuberous breast augmentation

These days, lots of different people place breast implants in women. Although they should all be seeing qualified, board-certified plastic surgeons, your situation is one in which that is especially important. The complexity of your situation is one that is not easily grasped by many surgeons, so be sure you see one who knows how to handle your specific case.

Malik Kutty, MD
Sugar Land Plastic Surgeon

Specialist for tuberous breast augmentation

Board certification in general surgery and plastic surgery shows your prospective surgeon did not take any shortcuts in his or her training. Usually treatment of a tuberous breast in our practice Involves some treatment of the areola, and special implants and careful measurement. You should talk to several doctors and, in experienced hands, you will usually hear the same advice.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

Tuberous Breasts and Augmentation

FFM in Minneapolis: As you have read from my colleagues, board certification is a good start. Experience with this issue is very important as well. Augmentation alone is appropriate in some cases and correction of the tuberosity is needed in others. I would also suggest asking to speak to patients of this surgeon to discuss their outcomes. Getting a second or even a third opinion is also a good idea. We have a large base of experience performing augmentations on women with various... more

Douglas L. Gervais, MD
Minneapolis Plastic Surgeon

www.mpsmn.com

Tuberous breast shape

You have both tuberous breast shaped breasts as well as two different sized breasts. A good Plastic Surgeon who is board certified by the American Board of Plastic Surgery, and possibly even a member of the Aesthetic Society of Plastic Surgery should have the qualifications to perform this surgery for you, but always get several opinions before you make any decisions about this. I have had many patients with this shape difference, and I know you can have a good result ... more

Francis (Frank) William Rieger, MD
Tampa Plastic Surgeon

Tuberous breasts and breast augmentation

Many patients considering breast augmentation are seeking to not only enhance the volume of their breasts, but to also enhance the shape and/or improve the symmetry of their breasts. Essentially all breast shape and symmetry issues can be improved during breast augmentation, and with most of them it is possible to make significant improvements and produce an aesthetically desirable breast profile. Accurate preoperative evaluation, appropriate surgical planning and attention to detail during... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Tuberous breasts

Tuberous breasts do require a more intricate surgery then a straight forward breast augmentation. Your procedure is not only needed to increase the volume of the breasts, but also to change the shape for symmetry and aesthetic purposes. I would recommend speaking with your current PS. It is reasonable to ask him/her how many of these they have performed in their careers and to request before and after photos. If you are not satisfied, I recommend going to other... more

Neil J. Zemmel, MD
Richmond Plastic Surgeon

Tuberous Breasts - Experience, experience, experience.

Board certified, experience, many, many examples that can be shown to you of the surgeons experience with similar cases. These are all base line requirements. What I will say is in my hands many times it is an initial breast augmentation with release of fibrous bands within the breast tissue that is the first step. One must be careful not to be over zealous in this maneuver as loss of nipple sensation can be a consequence. I do think going for symmetry in an initial procedure is... more

Clayton L. Moliver, MD
Houston Plastic Surgeon

Difficult cases need experienced surgeons

Tuberous breast deformity is a tough problem and requires a carefully planned approach. Even with the best planning and execution, you can still wind up requiring multiple operations. Be sure you choose someone who has done this type of surgery before and is able to handle the problems that can arise from this type of operation.

Jay Calvert, MD
Beverly Hills Plastic Surgeon

Experience counts with breast asymmetry

Complex breast issues are within the scope of board certified plastic surgeons from a training perspective. You should look at photos from each plastic surgeon you consult with and be prepared for secondary surgeries/touch ups which are not unusual with asymmetrical breasts. If possible, speak with their patients about the overall experience with the surgeon and then choose the one you are most comfortable with. Good luck!

Vaishali Doolabh, MD
Jacksonville Plastic Surgeon

Tuberous Breast Augmentation Specialist

While I know of no plastic surgeons that specialize only in correction of tuberous breasts, I do recommend that you seek a plastic surgeon experienced in treating patients with tuberous breast deformity. These are the qualities you should seek in your plastic surgeon: 1. Certified by the American Board of Plastic Surgery 2. Experienced in breast surgery and breast reconstruction 3. Has before and after photos of previous breast augmentation and tuberous... more

Jaime Perez MD
Tampa Plastic Surgeon

Tuberous breast augmenation does require special skill

You are correct in that a tuberous breast such as yours does require more skill and consideration than a typical breast augmentation, and some cosmetic surgeons are not interested in the challenge. Board certification in plastic surgery is a good start, though during your consultation you should ask his interest and experience in problems such as yours, and perhaps see photos of how he solved similar situations. A second opinion is best if you are in doubt. If your surgeon does not have the... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Treatment of "tuberous " breast deformity TEST

I do not see a tuberous deformity in your pics,but rather a significant mammary asymmetry and dysmorphia (unusual shape). See a board certified plastic surgeon and discuss his or her experience with this and their ideas as to treatment.

Barry H. Dolich, MD
Bronx Plastic Surgeon

Do I Need to See a Specialist for my Tuberous Breast Augmentation?

Most boarded PSs can handle your congenital tuberous breast asymmetry and deformity. But it is best to see a more experienced PS with examples of their treatment results. In my hands I would offer you a 3 stage approach. Stage I: would be placement of bilateral expander implants, a nipple reduction bilaterally and a donut lift on the left larger ptotic breast . After adequate expansion and over expansion for a few months, than Stage II: Removal of expanders & replace with permanent... more

Darryl J. Blinski, MD
Miami Plastic Surgeon

You may benefit from fat grafting to the breast

You have sever tubular breasts and it will be difficult to perform augmentation with implants. Dr Coleman from NY published his work on fat grafting to the tubular breast with fat grafting in 2007. The result were great. I have used the same technique and been very happy with the result. Fat grafting is a new technique and yo will need to make sure your surgeon is board certified plastic surgeon and qualified to do the procedure.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Tuberous breast deformity

As all my colleagues have stated above it is good to hear that you have informed yourself as a patient as to your overall diagnosis and the needed expertise to improve the appearance of your breasts. I just have one thing to add. Tuberous breast deformity can be very difficult to resolve and may require multiple procedures. I hope that all goes well with you and that a single stage surgical repair will obtain the results that you desire. However, do not be surprised... more

Ernesto Hayn, MD
West Palm Beach Plastic Surgeon

Tuberous Breasts

Yes, you need a specialist and should be evaluated by a board certified plastic surgeon. I see you live in Minnesota. I would suggest going to the plastic surgeon division at Mayo Clinic in Rochester, MN. They do hundreds of complex breast surgeries and reconstructions each year and they should be more than competent to handle your case. Good Luck

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Correction of breast asymmetry and of tuberous breasts requires a specialist.

Hi. 1) You have very difficult anatomy for two reasons. On one side you have a severe tuberous breast problem, and you are very asymmetrical. Even in the best hands, you may not get perfect shape or perfect symmetry. So you have to start by being realistic. But you can certainly expect major improvement. 2) Your surgeon may be entirely qualified. Specialist here just means someone who has treated a few of these successfully. Talk to... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast augmentation specialists

You do have a tougher than usual starting point. Just make sure that your chosen surgeon has many many years of experience doing this and can show you photos of tough starts where the result looks nice to you. They won't be exactly like you, but something to show that they have serious experience and a good eye for what to do.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Chossing a surgeon and a procedure

Your photos are a bit confusing because they are mostly reversed mirror images. Your concerns are valid because the breasts are asymmetrical with the right being smaller than the left with a less discrete inframammary fold on the right and nipples at different levels. It is also unclear from the photos if the nipples diverge from the midline or are pointed directly forward. Your first decision to pick a well trained surgeon is a good one. Unfortunately your case is more complex than... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Treatment for tuberous breast deformity

You should consult with a board certified plastic surgeon experienced in this type of breast surgery. Based on your photos, you may need a tissue expander placed in your right breast first, followed by expansion of the skin, then an implant placed at another stage. Your left breast will likely not require a tissue expander, just an implant and some modification of the breast shape around the areola. Meet with a few plastic surgeons in your area before deciding. Best wishes... more

William Bruno, MD
Beverly Hills Plastic Surgeon

Tuberous breast deformity specialist

It sounds like you are doing a good job investigating your surgeon and ensuring he has the proper credentials and training. The fact that your doctor is a board certified plastic surgeon confirms that he was trained to address difficult breast problems such as yours. However, you should not hesitate to ask him directly if he has experience with not only breast augmentation, but specifically asymmetric tuberous breast, and if he is comfortable performing your surgery. You... more

Adam Hamawy, MD
Westchester Plastic Surgeon

Board Certified in Plastic Surgery is a great start

Board certification in plastic surgery is a great start. Now you need to learn about his experience and practice. Meet him for you consultation. Make a thorough list of questions and listen carefully to the explanations provided. Ask to see some photos of patients with treatments similar to you. Sometimes the office may offer to contact past patients so that you may discuss with them their experience. If you are not sure, seek another opinion before committing to an... more