I lost 100+ lbs, had abdominoplasty and now want an implant for fullness and to correct my stretched out tubular breasts. I would think I am a rare tubular breast exception (due to the weightloss) that has more than enough tissue to do a subglandular placement. I would like expert advice.
January 31, 2019
Answer: Tuberous breasts Dear SunshineBaby904,I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle. Tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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January 31, 2019
Answer: Tuberous breasts Dear SunshineBaby904,I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle. Tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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Answer: Implants after weigh loss Thank you for your photos and questions. Based off your photos you should be able to have subglandular implants, granted an inperson exam will tell for sure. I would also recommend an areolar reduction and breast lift to match a perkier, fuller breast. Best Wishes!Dr Jamie Moenster, DO, FACOS, FACS
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Answer: Implants after weigh loss Thank you for your photos and questions. Based off your photos you should be able to have subglandular implants, granted an inperson exam will tell for sure. I would also recommend an areolar reduction and breast lift to match a perkier, fuller breast. Best Wishes!Dr Jamie Moenster, DO, FACOS, FACS
Helpful