How do tissue expanders fix the shape of tubular breasts?

Thank you for your question. Hopefully, this information will help you. This method takes advantage of the principle that skin is expandable (like an abdomen during pregnancy). An inflatable implant is placed under the skin (and/or muscle) and is gradually increased in volume by adding saline over a few weeks or months. This regular expansion is a simple, painless procedure that requires no anesthetic.In some cases the expander may be deliberately over inflated by about 30 percent and left for three to four months to help achieve a more natural breast shape. A second operation is necessary to remove the expander and an implant of your choice is placed. Nipple areola reconstruction can often be done at the same time. Best of luck!Dhaval M. PatelDouble board certified Plastic surgeonHoffman EstatesBarringtonOakbrookChicago

Tissue expanders are not required for tubular
breasts. I recommend a new technique
called The Mini Ultimate Breast LiftTM. Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage. At the same time, implants can be placed if
you desire increased size. This
technique avoids the ugly vertical scars of the traditional technique,
maintains nipple sensation and the ability to breast feed.Best Wishes,Gary Horndeski, M.D.

Tissue expanders are certainly reasonable for treatment.  I would consider a couple of factors here.   You will need at least 2 operations with this method.  You will also require a series of sessions in which the expander is filled over a sometimes very long period of time.  There is also a risk of infection and deflation with the tissue expander.  I have not used a tissue expander on tuberous, tubular, constricted breasts, or Poland's syndrome, and I have had excellent results.  Having said all of this, tissue expanders remain a perfectly reasonable mode of treatment.Find a
board certified plastic surgeon who performs hundreds of breast
augmentations each year. Then look at the plastic surgeon's website
before and
after photo galleries to get a sense of who can deliver the results.
Kenneth Hughes, MD Los Angeles, CA