Fix Tubular Breasts Without Implants?

All deformities we have come in a spectrum of degrees. No different for tubular breast deformities. So depending on your starting point, it might be possible to go without an implant. However, if you really have a true manifestation of the tubular deformity with lower pole constriction and tissue deficiency, enlarged areolas with herniated breast tissue, and a tight high riding inframammary crease, I personally can't imaging getting a good correction without an implant....

Hi Izabella, Thank you for your question. Yes, this can be corrected without implants with a breast lift or mastopexy type surgery. However, it is important to be realistic about the results that can be achieved with these procedures. It is also important to know what you want to look like so you can be realistic about this as well. Usually, though breast implants are a better option for most patients,by no means do you have to get them. You should schedule a consultation with a board... more

Many women with tubular breasts are smaller breasted and desire a a modest change. Tuberous breasts can manifest in a spectrum of change. For a severly tuberous breast there is minmal breast tissue whereas in some moderate cases, it is a matter of tightness in the lower part of an otherwise normal looking breast. You should schedule a consultation with a board-certified plastic surgeon who will have the benefit of examing you and then they can review all of your options. Best of luck... more

Hi! In New York, we see a fair number of tubular breasts, and we correct them both with and without implants. It depends on the anatomy, whether there is asymmetry, and what the patient wants. The key is to correct the shape of the breasts from the inside. You end up with a circular scar around the nipples. This scar usually heals well.

Bottom line is, tubular breast reconstruction can be done without breast implants. Some severe cases are even better reconstructed without an implant initially  followed by placement of an implant at a later date if desired.

While a mastopexy/breast lift type of procedure can correct tubular breasts, I have had great difficulty achieving a nice full look, especially medially in the cleavage area without breast implants. In fact, the most satisfactory results in my practice have been achieved with soft tissue expansion. The problem is the constricted shape of the breast which is usually worst medially near the cleavage. I find expanding this area has given the best results. Avoid circumferential incisions and... more

Yes this is possible and would be more akin to a breast lift or mastpexy tyype procedure. You should schedule a consultation with a board certified plastic surgeon to discuss your options which include the use of autogenous tissues to enhance or augment the breast without an implant.

Tubular breast deformity is diagnosed when three criteria are present: 1. Constricted breast base with lower pole deficiency. 2. Enlarged aerola. 3. Herniating of breast tissue through the areola. The classic treatment of tubular breast involves a peri-aerolar mastopexy,breast tissue scorring to expand the lower pole and control of the aerolar diameter. An expander or implant is used to add volume to an already deficient lower breast pole. The procedure could still be done without an... more

Tuberous breast deformities usually have several problems. A narrow base, an enlarged areola, and herniating tissue through the areola. Quite frequently, there is not enough tissue to lift and pexy. The tissue can be scored to open up the lower pole, the areola can be made smaller and a permanent suture can be used around the border of the areola, but often an implant is required to fill the breast out especially in the lower pole. If there is enought tissue, this sometimes is not... more