Areola Reduction and Tissue Expantion for Tuberous Breasts, Will This Give Me Normal, Full Looking Breasts?

Question

I have tuberous breasts, and I know I would have to fix the 'puffiness' of my areolas with a reduction. And the rest with implants, but I don't think I could do it, so I want to know if an areola reduction and tissue expansion would give me normal, and full looking breasts. I don't mind having a small chest,I just want to look normal. Also, I would like to know the average prices for these two procedures, if they can correct my problem, since I do not have a lot of money to spend, unfortunately.

Gary M. Horndeski, MD · Answer

There is a new technique called The Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to reduce the puffiness of the areolas, reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage.  Aligning the areola and breast tissue over the bony prominence of the chest wall maximizes anterior projection.  This technique does not require expansion or implants and produces a natural appearance.  

	 

	Best Wishes,

	 

	Gary Horndeski, M.D.

Jed H. Horowitz, MD, FACS · Answer

correction of tuberous breasts

	like all patients and surgeries, there are frequently more than one answer.

	periareola surgery is generally required..   expansion can be used but often is not needed and the use of implants alone or  serial exchange of implants is sometimes less expensive with excellent outcomes.

Joseph L. Grzeskiewicz, MD, FACS · Answer

The main issue is how much constriction or tightness you have in your breast tissues and overlying skin, especially at the bottom of the breasts.  This is one of the main reasons why tuberous breasts develop the way that they do.  The skin and breast tissue ligaments are tight and constricted, again, mostly at the lower aspect of the breast mound, and this prevents the breast mound from developing into a full, round, normally pendulous shape.  With nowhere else to expand, the growing breast tissue begins to force its way through the areola, which then becomes the weak link in the chain, and that is why the tuberous breast has its characteristic appearance of large, dilated areola with puffiness, or sometimes herniation and ptosis (drooping) of breast tissue through the areola.  With this background, you can probably appreciate the rationale behind correcting the deformity.  If it only involves some puffiness of the areola and a relatively normal shape to the lower breast, it may be possible to get a natural looking breast and a decent result with just an areolar reduction/tightening procedure alone.  On the other hand, if there is any significant degree of constriction of the tissues and deformity of the shape of the lower breast - flattening, elevation of the fold, overhanging of the breast - then simply correcting the areolar size will not address these issues of shape, and I would expect that the breasts would still look abnormally shaped.  In order to correct those things one would have to create some expansion of the lower breast tissues to reverse the constriction that is naturally there.  The only way that I know how to reliably do this is either by releasing the breast tissue internally and placing an implant, or using a tissue expander, which can then be left in if it's an expander/implant type, removed altogether once the desired expansion of the tissues is achieved, or replaced with a small implant to preserve the shape that is achieved.  You don't necessarily need an implant, but you could go with a small one to maintain some shape of the breasts if you want.  Without seeing your breasts it is hard to give you specific recommendations, but at least that gives you an idea of what options there are and what the thought process is, at least for me, when deciding which way to go.   I suggest that you schedule a consultation with an experienced board certified plastic surgeon who does a lot of corrections for tuberous breasts and can properly advise you on all of your options and help you select the best one for you.  Good luck.

Steven Wallach, MD · Answer

If you have tuberous breasts, there are different approaches depending upon the severity of the deformity.  Best to be seen in person to figure out what is best for you.

Hilton Becker, MD · Answer

Areolar reduction is performed with a circumareolar incision

	Adjustable implants function as a tissue expander and an implant and are often used to correct asymmetry and tubular breast deformity

	see the attached link

Areola Reduction and Tissue Expantion for Tuberous Breasts, Will This Give Me Normal, Full Looking Breasts?

Answers (6)

Answer: Tuberous breasts

Answer: Tuberous breasts

Answer: Areola Reduction and Tissue Expantion for Tuberous Breasts, Will This Give Me Normal, Full Looking Breasts?

Answer: Areola Reduction and Tissue Expantion for Tuberous Breasts, Will This Give Me Normal, Full Looking Breasts?

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Areola Reduction and Tissue Expantion for Tuberous Breasts, Will This Give Me Normal, Full Looking Breasts?

Answers (6)

Answer: Tuberous breasts

Answer: Tuberous breasts

Answer: Areola Reduction and Tissue Expantion for Tuberous Breasts, Will This Give Me Normal, Full Looking Breasts?

Answer: Areola Reduction and Tissue Expantion for Tuberous Breasts, Will This Give Me Normal, Full Looking Breasts?

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Everything you need to know about Tuberous Breast Correction Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.