Breast Augmentation: Q&A

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Suggested Procedure for Tuberous Breasts

Surgeons with expertise in this area, please provide your thoughts. I would prefer a natural look, so perhaps tear drop would be best?

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21 Doctor Answers | Asked by Surgery2011

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Suggested Procedure for Tuberous Breast

For your particular case, I recommend a one-stage procedure in which implants are placed under the muscle. I do prefer silicone for appropriate patients because they feel more natural and based on the measurements of the breast, they may be high profile. The other essential steps are reducing the nipple-areola where tissue is protruding out via a peri-areolar lift and releasing the tight constricted bands that are limiting the growth of the breast. I would not recommend a... more

Tuberous breasts: There is a solution!!!

Tuberous breast repairs are commonly scar ridden flat and unnatural looking. The good news is that there is a specific technique to create natural appearing breasts with hidden scars for this type of breast shape. The procedure involves a special subfascial placement of silicone implants and a special nipple lift and areolar reduction with a hidden scar. The results are very natural appearing. All the best, Rian A. Maercks M.D.

A two-fold approach to your tuberous breasts

My approach to the tuberous component in your breasts, which I have used in many cases, is twofold. Initially, through a periareolar incision, I would perform a dual plane augmentation releasing the tight and constricted inferior pole (re: the lower portion of your breasts). This allows the prosthesis to sit lower on the chest and creates a slight upward rotation of the nipple areola. The 2nd part of the procedure is a periareolar mastopexy which allows for diminution in the size of... more

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Tuberous breast

There are many ways to improve the appearance of a tuberous breast. I believe that a periareolar mastopexy or tuck will flatten the "tuberous portion" at the time of augmentation. In addition while dissecting the pocket for the silicone implants, the bands of tissue that are causing this can be released allowing the breast to expand and become rounder. I believe that the implants should be place beneath the muscle. On the right side you may also require an extension of the scar... more

Rick Rosen, MD

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Norwalk Plastic Surgeon

Tuberous breast correction

There is no consensus on the best surgical treatment for tuberous breasts. I personally prefer silicone implants performed through a peri-areolar incision, with a reduction of the areolae and submuscular placement of the implants. Teardrop implants are great, but silicone teardrops are not yet available in the US for general use. I agree with Dr. Rand, however, in that you should expect a significant improvement, but not perfection, as tuberous breasts are extremely... more

Treating tuberous breasts

You can achieve a nice improvement, not perfection, from your slightly more difficult starting point than some tuberous breasts. You would need periareolar lifts, and in my practice, I believe that an expandable saline implant will give you the best result placed under the muscle because you can stretch the tissues gradually adding fluid after surgery and can best correct the asymmetry and you also get to control the final size you like best.

Tuberous breast correction

There are many different variants of tuberous breast or constricted breast developmental deformities. You do have a variant of tuberous breast, with some areolar protrusion ("pseudoherniation" of the areola), and a very short distance from your nipple to the inframammary fold with deficient tissue in the lower pole of the breast. You also have a rather wide distance between your breasts. You can benefit from a breast augmentation, but it should be performed by a... more

Tuberous Breast

Tuberous Breasts have a very narrow base and usually a long skin envelope. In the most severe cases of Tuberous Breast, a breast lift can be done through an incision around the areola, making the breast into a more rounded shape that the patient will be happy with. In many cases however, a lift is not necessary. The patient should be aware that the final result will take months to see and that they will need to be patient. Generally, the procedure involves breast augmentation with areola... more

Tuberous Breasts Augmentation

Like many cases in the world of plastic surgery, tuberous breast can be treated by several different surgical techniques. Essentially the goals are to expand out the tight skin envelope of the breast, relax the conical shape of the breast tissue, and finally reduce the enlarged ("herniated") areola. Depending upon the severity, all this can be accomplished in a single operation for mild-moderate cases or more safely/reliably done in a series of two operations for severe... more

Surgery for tuberous breasts

Your posted photos show a constricted base of the right breast with a narrow tube like projection of the breast outward/forward from this base. The fold under the right breast is high and the areola is large/stretched out. On the left there is little breast tissue and no fold under the breast to speak of. The left nipple is also further from the midline than the right nipple. The tuberous nature of your breasts and significant asymmetry between your breasts make your case a very difficult... more

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