Do Tubular Breasts Heal Differently After Breast Augmentation?

Question

I opted for breast augmentation to correct or at least improve my tubular breasts (with very high breast folds). It's been 2 months and I am not seeing the smooth shape I expected at this stage. I still see a line (where the implant is sitting, I guess) and it totally LOOKS like a boob job.  I wanted to know if I am being realistic with my healing time. Will this crease improve over time? Is there something I can be doing to help the healing along? Will I ever look smooth? Thanks!

Jerome Edelstein, MD · Answer

Tubuerous breasts need more than breast implants to improve their contour.It appears that you have tuberous breasts. A common treatment technique involves releasing constricted breast tissue underneath the protruding nipples to give your breasts a fuller, less "snoopy" shape. No breast implants are needed but you may not be happy with their size after surgery.You may need another procedure to address the crease. Please wait about 4 months after surgery to determine this.

Jed H. Horowitz, MD, FACS · Answer

Treatment:

Because there is a wide range of appearances, from mild to
severe, the surgical treatment for #TuberousBreastDeformity  or #TBD must address the following elements
for a successful result :

Breast Base Grade:  l,ll, or lll

Asymmetry left and right

Skin envelope

Areola size, shape, herniation, and position

Breast volume

Ptosis (drooping)

Breast fold position and size.

The healing will depend upon the severity index

Johnny Franco, MD, FACS · Answer

First of all I would say that you are still early in your
post-operative period.  It does take
longer for someone with tubular breasts to achieve their final results than
someone that did not have a constricted breast. 
The breast will continue to stretch over the next couple months and take
the shape of the implant.

One of the causes of tubular breasts is that the breast has
constriction bands on the inside.  Typically
during surgery those bands need to be released to allow the breast to expand
and improve in shape over time.

I would tell you that you should wait at least six months
before contemplating any further surgery to improve the shape.  The good news is that your shape should
continue to improve over time and if after six months your still would like to
further improve your shape there are things that can be done.

I would discuss this with your board certified plastic
surgeon that specializes in breast surgery.

Gary Lawton, MD, FACS · Answer

It takes a very long time to correct the tubular breast shape after augmentation.  Massage the implant against that tight fold to encourage it to stretch out.  This will help achieve that rounded shape, which may take a year.

Michael Law, MD · Answer

Women with Tubular breasts can achieve beautiful results from breast augmentation surgery. It is important to select a plastic surgeon with expertise in this area as correcting tubular breasts requires experience in this area. Women with tubular / tuberous breasts can achieve excellent results and are some f the happiest patients in my practice as this surgery is life altering for them.

Richard J. Bruneteau, MD · Answer

Tubular
breast deformity occurs because of constriction of the skin at the base of the
breast.  This often results in herniation
of the breast tissue through the areola which creates a unique breast shape.
The vast majority of constricted breast deformities are relatively mild and
treatment may not be necessary. 
Severe cases of this condition occasionally occur and do require
treatment because of the magnitude of the breast deformity.  A variety of approaches can be used to
correct this problem.  Treatment
should be individualized, based on the specifics of the anatomic deformity and
the aesthetic goals of the patient.

Based on your pictures, it would appear that your breast
augmentation surgery was not an adequate treatment for your tubular breast
deformity. At this point in time, it’s unlikely that conservative management
will address the remaining anatomic defect.  Correction will require release of the constricted inferior
portion of the breast and a breast lift. It’s important that you share your
concerns with your plastic surgeon, so a treatment plan can be developed.

Otto Joseph Placik, MD · Answer

AT this point in time, I would allow at least 6 months to elapse prior to considering any revisions. Subseqeunt to this, believe you could undergo dual plane approach with radial relaxing incsions.

Sam Speron, MD, FACS · Answer

Tubular breast can be pretty difficult to correct. It looks as though there is some banding that has not been completely released. I would wait at least 6 months before you consider any revisionary surgery. This will also give your breast a little more time to heal and settle. Understand though that your breast may never be completely corrected, but improvement is a definite possibility. Definitely go talk to your plastic surgeon about this.
Best Regards,
Dr. Speron

Michael M. Omidi, MD, FACS · Answer

Thank
you for the question.  You are still in
the post operation recovery stage. Breasts generally heal at different rates.  It usually takes about 8-12
weeks for the wounds to heal and around 4-6 months for the implants to fully
settle so just give it more time.  It would be best to visit your
board-certified plastic surgeon and get a full assessment if you have any concerns.  Best of luck. Dr. Michael Omidi.

An
in-person exam with a board-certified plastic surgeon is the best way to assess
your needs and provide true medical advice.

Grant Stevens, MD · Answer

It looks as though your breasts remain constricted in the lower pole, which creates a line where the constricted breast base meets the implant. This may improve over the next several months as the implant continues to stretch the tissue. However, it may require revisionary surgery to further reshape your native tissue. Fat grafting over the implant to help camouflage the transition may also help. This is a difficult problem and sometimes takes a few surgeries to get a satisfactory result. Best of luck.

Do Tubular Breasts Heal Differently After Breast Augmentation?

Answers (20)

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