Breast Augmentation: Q&A

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Tuberous Breast Implants Help? (photo)

I have tuberous breasts and I've recently been to a surgeon that has recommended at least 240cc mod profile implant because the width and size is best to fix the issue. I really don't want to go that big at all and would be happy with a small low profile implant but will go with the larger option if thats whats needed to fix them. Does anyone have any advice? NB The implant would be placed over the muscle, inframmary incision, lowering the crease and releasing the constricting tissue.

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10 Doctor Answers | Asked by Maria5978

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Tuberous Breasts Concerns…

Thank you for the question and pictures. There are many different ways to approach your situation. Personally, I would suggest a sub muscular (dual plane) breast augmentation approach through a infra areolar or circumareolar Incision. I think that this approach minimizes risk of postoperative complications in my hands. It also allows me to better “control” the work that needs to be done on the lower poles of the breasts. In regards to breast... more

Breast lift ESSENTIAL for tuberous breasts

The question is "do you want larger breasts"? If you do then you will need implants. However, you definitely need the breasts lifted. This can be done through a circumareola approach avoiding the vertical scars or boat anchor shaped incisions. With this technique, it is possible to lift your breast tissue higher, creating more upper pole fullness, move your breast tissue more medial to increase cleavage and reshape your breasts. You are a perfect candidate for... more

Tuberous breast

The correct implant sizing depends on your breast width. I would not concentrate as much on the volume as the width of the implant. I would also place the implants in the submuscular plane.

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Tuberous breasts

Without an exam it is difficult to say what would be the best implant for you. It does sound like a reasonable plan for surgery.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Tuberous breasts

Your posted photos show widely separated breasts, most of the breast tissue at and above the nipple level and possibly high inframammary folds. Just putting in breast implants will not fix these issues. The breast tissue needs to be more evenly distributed/centered under the nipple by releasing incisions in the breast tissue, moving the breast tissue closer to the midline and possibly lowering the folds. I think most surgeons would then prefer to put the implants under the muscle. I... more

Do I have tuberous breasts? How are they best treated

Dear Maria Many thanks for your question and the very helpful photographs you sent in. In my opinion, you don't fulfil all the criteria that would give you a diagnosis of tuberous breasts. Examining the pictures, your breasts are widely spaced apart, the nipples are low and you have a relatively short nipple to inframammary crease distance. You do not have any herniation of the breast tissue into the nipples nor do you have a "constricted breast base". Therefore I think surgery... more

Tuberous Breast Implants Help?

Best advise is to see 3 or more boarded PSs in your city to discuss options of surgery you have. I would recommend implants with fat grafting to the inferior poles of your breasts.

Tuberous Breast Implants Help?

You do indeed have tuberous breasts. In regard to recommended breast implant sizes, there is no one size that is best. We have our patients try sizers on in a stretch bra to give them some idea of what adding that volume of implant in cc's to their current breast volume will give them in terms of eventual breast mound volume. This does not indicate what shape will result, but it does help give the patient an idea of volume. Implant width should be matched relatively closely to... more

Options for augmentation of tuberous breasts

There are unique problems with the tuberous breast, and each one is slightly different. One of the typical problems is that the breast is wider than it is tall, with a short distance from the bottom of the areola to the bottom of the breast. So the breast has an oval base rather than a round one. This makes it very difficult to position a round implant, because the fold can only be lowered a small amount before it creates a double bubble profile, but a smaller diameter implant will... more

Tuberous Breast

Thank you for your question and for the photos. From those photos it is clear that you do have tuberous breasts. Your surgeon's plan seems reasonable, though I don't see why you should have a bit more flexibility to choose implant size. The width of your breast tissue may affect choice of contour--we prefer to keep the implant diameter within the dimensions of the breast, so it may be that a low profile implant, which has a wider base, may be a lesser choice. In this setting,... more

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