Breast Lift: Q&A
Ask a QuestionTubular Breast with Mastoplexy: is a Permanent Purse String Suture Needed?
I have asymmetrical tubular breast and have been told that I need a concentric mastoplexy and augmentation. I have been told by some doctors that they always do a permanent purse string suture to keep the nipple from expanding. Others say that you can always feel this suture and that it is not necessary. I do not want my lover to be able to feel the suture when we are intimate. Is it necessary and what are the risk of not doing it?
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18 Doctor Answers |
Asked by
azhiker
in tempe
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Tubular Breasts and Permanent Suture
Tubular breast deformity is characterized by a narrow or constricted breast base. The breast tissue is then herniated into a, usually, widened areola. The deformed breast my be paired with a normal breast or a breast with any number of other deformties.
The correction involves an augmentation mastopexy. Because of the large expansion of the breast tissue with the implant there is a tremendous amount of stress on the areola. This often results in widening of the areola to a very...
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Tubular breast correction with mastopexy
It is hard to tell for sure from the side view, but you do not seem to have too much asymmetry. I would stay away from any permanent pursestring suture. In general the periareolar mastopexy which requires a pursestring suture has the risk of release of that suture and delayed deformity around the areola causing radial striations that are difficult to fix.
If the asymmetry warrants more than a conservative periareolar reduction I have found that the full mastopexy creates complete...
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Tubular breast deformity and mastopexy using purse string technique
As you can see from previous post your particular breast shape presents a difficult reconstructive problem. In my experience periariolar mastopexy with augmentation to reshape and thrust the breast is usually not the answer.
If you wish you can go on my site and include your email address and I can send pix of treatment of a similar case.
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Tuberous ( Constricted) Breast Correction?
Thank you for the question and picture
You have appropriately heard of the downsides of using permanent as well as the downsides of using absorbable sutures. Unfortunately, there is no perfect solution.
For “minor” tuberous breasts correction options very. Sometimes it is possible to use breast implants only without an incision around the areola; patients potentially will contain to have a “puffy” areola appearance.In other cases of...
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Circumareolar Mastopexy
Hi there-
You are among the very small group of women for whom I believe a circumareolar approach to mastopexy is ideal.
One of the major problems with this operation is the spreading of the areola that can occur- the areola gets larger and becomes a larger than preferred focal point on the breasts... Generally patients hate this look.
In order to avoid this, it is necessary to use a suture that holds its strength until the new breast shape is stable.
There are going to be many differences of o
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Control the expansion
I understand your concern. In my opinion a permanent suture will control the shape of your areola much better. A absorbable suture can be used but you must be will to accept the trade-off, a stitch you or your lover can not feel over time versus the possibility of wider areola of the breasts. Consult with several board certified plastic surgeons for an evaluation.
Good Luck
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Tubular breasts
Yes, you will most likely need a circumareola control suture for your areola. This can be performed with a soft suture like Gortex which is barely palpable, if at all.
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Permanent stitch for augmentation mastopexy correction of tuberous breasts
To some degree a lift and augmentation are conflicting operations. In one you are removing skin to create a "lifted" breast and in the other you are placing an implant whihc stretches the skin. If you do not use a permanent suture, you will risk enlargement of the areola. Necessity of the suture is a function of your cosmetic expectations.
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Permanent vs dissolving suture for tubular breast mastopexy
You can tell from the various answers that there are differences of opinion about the use of premanent sutures. You will definitely need a pursestring (Benelli) mastopexy. With permenent sutures, there are actually a couple of issues, one of which is that it can be felt even if it is in a deep layer. Another is that the areolar diameter normally expands and contracts depending on temperature, stimulation, etc; if it is fixed by a permanent stitch, then it has to pooch out like a snoopy dog...
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Permanent vs absorbable suture for Mastopexy
When doing a periareolar mastopexy like what you need, a long lasting suture is ideal, since it lasts until the scar is strong enough to resist spread. This does not necessarily have to be a permanent suture, however. Permanent sutures have been used for this for a long time. Now, however, there is a suture that is absorbable, but does so over 6 months. This is enough time for the scar to obtain strength enough to resist spreading of the scar without the suture. I would suggest you talk...
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Highlands Plastic Surgeon
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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