Tuberous Breast Correction

I have, what I believe to be, a mild case of tuberous breast deformity. I am not so much concerned with the size of my breast, but their shape. In terms of corrective surgery, it is possible to fix their conical shape without implants or are implants generally recommended? What type of implant is suggested for tuberous breast correction surgery?

Doctor Answers 24

Correcting Tuberous (Snoopy Dog) Constricted Breast Deformity

Regarding: "Tuberous Breast Correction
I have, what I believe to be, a mild case of tuberous breast deformity. I am not so much concerned with the size of my breast, but their shape. In terms of corrective surgery, it is possible to fix their conical shape without implants or are implants generally recommended? What type of implant is suggested for tuberous breast correction surg

The Tuberous (Snoopy Dog) Breast Deformity is an extreme case of constricted breast deformity. Instead of having a round hemi-sphere dome shape the breast have a variety of narrower shapes resembling an ice cream swirl. The shape is due to variable circumferential constriction by soft tissue fibers similar to the way Christmas trees are kept tied when sold before the holidays.

Full release of these fibers would change the swirl into more of a dome and would improve matters and you do not have to have implants. But you would get a much nicer result by putting in implants which would provide an outward force further expanding the breast centrifugally and giving it a MORE hemispheric dome shape.  In my opinion, either Mentor saline style 2000 - Moderate Profile plus or their gel analogs, the Mentor smooth round High Profile gel implants produce the most attractive results, if you choose to have implants.

Good Luck.

Dr. Peter Aldea

Memphis Plastic Surgeon
5.0 out of 5 stars 81 reviews

Tuberous breast correction

If you are happy with your size, don't get implants.  You are a great candidate for a periareolar breast reshaping.  This procedure will reduce the puffiness and diameter of your areola and decrease the conical shape of your breasts. Think of an Egyptian pyramid becoming an Aztec pyramid. 

Some tuberous patients really need implants but you don't.

Lisa Lynn Sowder, M.D.

Lisa Lynn Sowder, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 56 reviews

Correction of tuberous breast without implants

If you are happy with the size of your breasts, there is no reason to place implants.  The shape can be corrected and the volume of your breasts would be the same, your breasts would just be more round with less protrusion of the nipple areola complex.  If you do desire added volume, then implants can be placed.  I would recommend that you be measured and evaluated by a Board Certified Plastic Surgeon to determine what implant would be best for you.  The choice of the type of implant would depend on how much lager you would want to be, as the diameter of the implant will vary depending on how much volume you end up choosing.  Good Luck!

Amy T. Bandy, DO, FACS
Newport Beach Plastic Surgeon
5.0 out of 5 stars 97 reviews

Tuberous breast options

Thank you for your question and for sharing your photo. Based on your photograph, it appears that your breast are constricted and not allowing the lower aspect of your breast to fully develop. Breast surgery is an option to help reshape the breast and release some of the constrictions. An implant and breast lift may also help reshape the breasts as well. I would visit with a board certified plastic surgeon who can discuss the different operative techniques and options with you.

Best implants for tuberous breasts

#TuberousBreast have been labeled with a variety of names and conditions. These include the following: #TubularBreasts, #ConstrictedBreasts, #PuffyNipples, #SnoopyBreasts, #ConicalBreasts

Surgical considerations:

Location of incisions
One or more stages
Tissue expander
Type and shape of implant  This will be determined by the shape of your breasts , desires, size and these other issues
Pocket placement
Type of lift
Type of areola correction

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 30 reviews

Tuberous Breast Correction

Tuberous breast deformity involves a constricting ring that grows around the breast base. This ring stops the horizontal and/or vertical expansion of the breast, leading to constricted appearance with large areolas and irregular nipples. Surgery is necessary to release constricted tissue, and implants may be placed to enhance volume. 

The surgery does not have to involve the placement of implants, however you may not like the size of your breasts afterward. If you prefer an implant, then they are typically placed in the sub-mammary position to better influence your breast’s shape and to add greater volume. However, this all depends on what your surgeon recommends based on a physical examination. 

Tuberous Breasts

We can often make an excellent improvement on tuberous breast. Surgical treatment plan often involves combination of implants and steps to release the internal fascia of the breast and to reshape and reduce the areola. Tuberous breasts can be challenging but the results can be exceptional. In your case  implants are not absolutely necessary. The shape could be corrected while allow your breast to remain the same size. 

Michael E. Ciaravino, MD
Houston Plastic Surgeon
5.0 out of 5 stars 48 reviews

Tuberous breast deformity

Thank you for your question!   Given your photos, it does appear that you have a mild tuberous breast/constricted breast deformity.  The standard procedure would be placement of an implant (or tissue expander, depending on the lower pole of your breast) as well as a circumareolar breast lift.  These modalities would correct the issues with tuberous breast: constricted breast at the inferior pole, via breast prosthetic; scoring of the tissue to release the bands; lowering the inframammary fold; correcting the herniation of breast tissue into the areolae; and decreasing the overall size of the areolae.  These are the hallmarks of tuberous breasts.  You could likely get great results with an implant and possible breast lift.  The type of implant will be personal preference - your surgeon will discuss the various types of implants with you.

Consult with a plastic surgeon well-versed in breast surgery and discuss your goals and expectations.  S/he will then be able to examine and discuss the various options and assist you in deciding which decision os the right one for you, given your desires.  I would expect a very pleasing result for you!  Hope that this helps!  Best wishes for a wonderful result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 14 reviews

Do my tuberous breasts need breast implants?

There is nerver an absolute indication for breast implants.  I agree with the recommendation by most surgeons here that you can get some improvement by a surgery to release the breast tissue through a scar around the areola.  However, I also feel that the correction would be much better if you agreed to at least a small round implant placed over the muscle to help redrape the breast tissue. An implant will help spread out the "released" breast tissue so that it protrudes less into the areola.

Neal Goldberg, MD
Westchester Plastic Surgeon
5.0 out of 5 stars 7 reviews

Treatment of tuberous breasts

Correction of tuberous breast would involve release of the constriction tissue internally and addition of volume to support the shape - round versus tuberous - of the breasts.  So, an implant would positively affect the outcome of your surgery.  Good luck.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 64 reviews

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