Tissue Expander for Tuberous Breasts?

I am 19 years old and my surgery to fix my tuberous breasts is scheduled for this winter. I am getting expanders put in both breasts and then I have to go to get them filled 3 times. Then, my second surgery (not scheduled yet) will be to remove them and put in permanent implants to fix the rest of the problem. Is that a good way to fix tuberous breasts? I would like to hear from other doctors how they would go about this and if they recommend me to go this route to correct the deformity.

Doctor Answers (12)

Mini Ultimate Breast Lift is superior to tissue expander


Unfortunately, you have not provided any photographs so I cannot tell the degree of the deformity.  However, I have never used tissue expanders for tuberous breasts.  The technique I use is called The Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to reshape your breast tissue, create upper pole fullness and bring your breasts closer together.  This is done without damaging nerves in the areolas or interfering with breast feeding in the future.  If the patient wants implants to change the breast size that can be done simultaneously through the same incision.

Best Wishes,

Gary Horndeski, M.D.

Web reference: http://www.horndeski.com/gallery.aspx

Texas Plastic Surgeon
5.0 out of 5 stars 109 reviews

Tissue Expanders for tuberous breasts


This is an accepted method for treating tuberous breasts. Some patients can have a one stage procedure also. Photographs would be helpful.

New York Plastic Surgeon
5.0 out of 5 stars 9 reviews

Tuberous Breast Correction #breastimplants


The degree of tuberous breast varies so greatly. Certainly using tissue expanders is a conservative good way to fix the problem. I think being conservative is a great way to go. Depending on the severity of your breasts you may be able to have a one stage operation. Ultimately you have to trust your choice in surgeon and be confident that you have chosen the right person. Look at before and afters and make sure this is something your surgeon has done before. 

Scottsdale Plastic Surgeon
5.0 out of 5 stars 14 reviews

What methods are there to correct tuberous breasts?


Dear Katherine

Many thanks for your question. There are many approaches to fixing tuberous breasts and the way in which you describe (a two-stage approach using tissue expanders) is a very traditional strategy. Other methods do exist, some of which do not require two stages. I would suggest you review different before and after pictures with your plastic surgeon and ensure they answer all questions you may have to be 100% confident prior to embarking on surgery.

Good luck


Web reference: http://www.marcpacifico.co.uk/treatments-procedures/breast/tuberous-breast-correction.aspx

London Plastic Surgeon
5.0 out of 5 stars 9 reviews

Tuberous breast correction


Thank you for your question.  Pictures would have been helpful, but generally speaking I do not use tissue expanders to correct tuberous breasts (because I do not need them).  Make sure your Plastic Surgeon does a lot of breast surgery and he/she has experience with correcting tuberous breasts.  I would make sure you see a lot of before and after photos before proceeding with any surgeon.  Good luck!

Orange County Plastic Surgeon
5.0 out of 5 stars 7 reviews

Tuberous breast issues


There are many way to treat a tuberous breast. It really depends upon the deformity. Some place implants immediately and treat the areola  as well as score the lower pole.

Manhattan Plastic Surgeon
4.5 out of 5 stars 14 reviews

Different alternative for tuberous breats


It would have been helpful to see your pictures. I offer my patient fat grafting for the correction of the tuberous breasts. The goal is to give volume over the lower pole and also use circumareolar mastopexy to correct the nipple-aerola shape if needed. I use Brava device on selected cases before fat grafting.

New Orleans Plastic Surgeon
5.0 out of 5 stars 46 reviews

Correction of Tuberous Breasts


My approach to correction of this issue would be based on your individual situation, in terms of whether both breasts are affected symmetrically as well as the degree of constriction and shape of the nipple/areola.  

I generally use an incision around the areola and release the lower pole tissue through this incision.  Whether the procedure can be done in one stage depends on how much tissue you have to begin with and how much volume you desire in your end result.

Denver Plastic Surgeon
4.5 out of 5 stars 3 reviews



Hi Katherine,

There are different approaches to treating tuberous breasts.  Tissue expansion is a wonderful approach in certain situations.  Photos would help to determine if a 1 stage or 2 stage approach would be best.  I usually can acheive a very nice result without tissue expansion. In fact I have never used tissue expansion to treat tuberous breasts. Usually this is an elective cosmetic procedure and the cost with 2 procedures is usually prohibitive.

Buffalo Plastic Surgeon
4.5 out of 5 stars 7 reviews

Tissue Expander for Tuberous Breasts?


We frequently use expanders to correct the tuberous breast deformity, but not the type you are getting. We use a device called a Spectrum Implant manufactured by Mentor. It is a saline filled device that can be filled through a small port just under the skin, and once the final volume is determined, the port is removed under local anesthesia through a small incision and the Spectrum becomes the final implant. It is a little more expensive than the plain saline implant, but considerably less than an expander followed by another surgery to replace the expander with a new implant. It is a fairly common implant and I am sure many surgeons in your area are familiar with it.

Portland Plastic Surgeon
5.0 out of 5 stars 8 reviews

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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