I have pretty severe tuberous breasts and looking to have them fixed as I have been extremely self conscious about them my entire life. One surgeon said I would need a lift, implants and areola reduction but he didn't feel comfortable doing the surgery so he referred me to a different surgeon. Who said all I need is implants.. what do you think?
Answer: Tuberous breast deformity For severe tuberous breasts, I usually use smooth, round implants placed through an inframammary fold incision combined with a periareolar mastopexy to reduce and support the areola while at the same time achieving a small lift to balance nipple position. The position of the implant (subglandular vs submuscular) depends on the thickness of the patient's breast and chest tissue. It is highly likely that there is a connective tissue band within the lower quadrants of your breast tissue that restricted the development of your breasts resulting in the deformity. The IMF incision will give your surgeon access to that band of connective tissue, which must be cut in multiple locations (called radial scoring) to allow the breasts to take the shape of the implant and fill out the inferior breast quadrants. If radial scoring is not adequately performed, you will have a double-bubble deformity after your augmentation. The IMF incision should be designed based on the ideal position of the breast crease with the implant in place, not necessarily where the breast crease is currently positioned. Breast augmentation for tuberous breasts is very challenging. Sometimes it is necessary to plan two surgeries to safely achieve the patient's goals. You may need a third consultation to find the right surgeon for this difficult procedure if the second surgeon appears to be underestimating the complexity of this operation.
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Answer: Tuberous breast deformity For severe tuberous breasts, I usually use smooth, round implants placed through an inframammary fold incision combined with a periareolar mastopexy to reduce and support the areola while at the same time achieving a small lift to balance nipple position. The position of the implant (subglandular vs submuscular) depends on the thickness of the patient's breast and chest tissue. It is highly likely that there is a connective tissue band within the lower quadrants of your breast tissue that restricted the development of your breasts resulting in the deformity. The IMF incision will give your surgeon access to that band of connective tissue, which must be cut in multiple locations (called radial scoring) to allow the breasts to take the shape of the implant and fill out the inferior breast quadrants. If radial scoring is not adequately performed, you will have a double-bubble deformity after your augmentation. The IMF incision should be designed based on the ideal position of the breast crease with the implant in place, not necessarily where the breast crease is currently positioned. Breast augmentation for tuberous breasts is very challenging. Sometimes it is necessary to plan two surgeries to safely achieve the patient's goals. You may need a third consultation to find the right surgeon for this difficult procedure if the second surgeon appears to be underestimating the complexity of this operation.
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February 1, 2022
Answer: Mini lift with fat transfers or small implants Your photographs are inadequate but from what I can see your breasts appear ptotic. I would need a true frontal view and true side views without nipple coverage. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. The areolas can be reduced to the size you desire. At the same time, fat transfers or small implants can be placed totally submuscular.
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February 1, 2022
Answer: Mini lift with fat transfers or small implants Your photographs are inadequate but from what I can see your breasts appear ptotic. I would need a true frontal view and true side views without nipple coverage. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. The areolas can be reduced to the size you desire. At the same time, fat transfers or small implants can be placed totally submuscular.
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February 11, 2022
Answer: Donut Mastopexy / Augmentation Good morning,
Helpful 1 person found this helpful
February 11, 2022
Answer: Donut Mastopexy / Augmentation Good morning,
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January 31, 2022
Answer: Peri-areolar (donut) breast lift for correction of tuberous breasts For your type of deformity, combination of peri-areolar breast lift (to reduce size of areola and reshape lower, narrow pole of the breast) and augmentation with sub-muscular implant would be good approach. Good luck.
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January 31, 2022
Answer: Peri-areolar (donut) breast lift for correction of tuberous breasts For your type of deformity, combination of peri-areolar breast lift (to reduce size of areola and reshape lower, narrow pole of the breast) and augmentation with sub-muscular implant would be good approach. Good luck.
Helpful
January 31, 2022
Answer: Tuberous Breast Correction Unfortunately, without better pictures and more information, it is impossible to say what will work best for you. With Tuberous breasts it is not uncommon to need an areola reduction and/ or actual lift along with implants. The best thing to do is to go for a few consultations with board certified for plastic surgeons and see what the consensus is. I hope this helps.
Helpful 1 person found this helpful
January 31, 2022
Answer: Tuberous Breast Correction Unfortunately, without better pictures and more information, it is impossible to say what will work best for you. With Tuberous breasts it is not uncommon to need an areola reduction and/ or actual lift along with implants. The best thing to do is to go for a few consultations with board certified for plastic surgeons and see what the consensus is. I hope this helps.
Helpful 1 person found this helpful
