Breast Implants: Q&A
Ask a QuestionTuberous 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?
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7430anon
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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 surgery?"
The Tuberous (Snoopy Dog) Breast Deformity is an extreme case of constricted breast...
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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...
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Tuberous breast correction
You do in fact show some of the attributes of mild tubular breast deformity in that the lower pole is a bit constricted and the nipple areola somewhat protuberant. That gives you your conical shape. By releasing the lower pole through a periareolar incision it would be most appropriate to fill the needed volume with a small round silicone prostheses. I generally use a dual plane approach and at the same time remove some retro areolar tissue to allow it sit flatter. That would not...
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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...
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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.
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The tuberous breast is usually corrected within implant
Correcting a to breast breast of formerly requires release of the constricting breast tissue. Often these breasts are smaller than the patient desires and so the correction involves adding an implant. Recently the use of enhanced fat grafts (using platelet rich plasma and stem cells)has been investigated and there are numerous clinical trials taking place. In my experience, I always tell the patient that they will probably need a secondary, revision surgery which is usually a minor touchup...
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Avoiding implants in tuberous breast
There are some recent reports of satisfactory correction of tuberous or constricted breast with the use of needle release and lipoinjection of the breast thereby avoiding the use of implants.
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Correction of tuberous breasts
Your case is not "mild" (type I), but more involved, and more difficult to predictably achieve a beautiful result. The deformity appears relatively symmetric (good). Implants are generally recommended to improve the shape of these breasts, as well as normalize the size to attractive proportion. Conventional implants (round) should be just fine, my personal preference is gel because of the more natural texture and less rippling, especially since after scar...
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Circumareolar release with areola reduction and fat grafting.
The treatment for the tubular breast involves releasing the constricting scar tissue and adding volume to the cleavage. I would recommend circumareolar breast scar release with areolar reduction and fat grafting . The use of the implant in the tubular breast is the common practice but leads to later breast deformities.
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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.
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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