I am having surgery to correct my tuberous breast on Dec 28. I am having a benelli lift as well with areola reduction. I am so worried that I could end up with a visible band where my old crease was. I am also worried about ending up with a bigger, cone version of what I already have. Im thinking about 425cc and 450 cc to correct my asymmetry. Would bigger or smaller implants give me a more rounded, perky look? I prefer to go large, but would go smaller for a better shaped result.
Answer: Consider both size and shape for tuberous breast A feature of tuberous breasts is a shorter distance from the nipple to the bottom (inframammary fold or IMF) than to the sides of the breast. So if you picture a round implant that matches the diameter, centering it behind the nipple will require lowering the IMF. This creates potential issues such as double bubble. Often a good choice is an oval base, form-stable implant.
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Answer: Consider both size and shape for tuberous breast A feature of tuberous breasts is a shorter distance from the nipple to the bottom (inframammary fold or IMF) than to the sides of the breast. So if you picture a round implant that matches the diameter, centering it behind the nipple will require lowering the IMF. This creates potential issues such as double bubble. Often a good choice is an oval base, form-stable implant.
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December 12, 2018
Answer: Breast Implant Size The implant size is best related to your breast dimensions. Therefore it is difficult to tell you what size based on a photo. The larger you go, the more perky the breast initially looks, however larger implants also have risks of tissue stretch and sagging over time. From the photo, your tubular condition looks very mild. I would be wary of an excessive intervention and would try to keep things simple with an implant alone. You can always do more. However, it is difficult to provide an accurate plan without an exam and measurements. The implant size probably has the least effect on your outcome compared with the surgical plan and its execution.
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December 12, 2018
Answer: Breast Implant Size The implant size is best related to your breast dimensions. Therefore it is difficult to tell you what size based on a photo. The larger you go, the more perky the breast initially looks, however larger implants also have risks of tissue stretch and sagging over time. From the photo, your tubular condition looks very mild. I would be wary of an excessive intervention and would try to keep things simple with an implant alone. You can always do more. However, it is difficult to provide an accurate plan without an exam and measurements. The implant size probably has the least effect on your outcome compared with the surgical plan and its execution.
Helpful
December 12, 2018
Answer: Tuberous? Tuberous breast is not, technically speaking, a "yes" or "no" question. There can be different points on the continuum. The typical hallmarks include a high, tight fold with "puffy" or distended areola, minimal breast tissue and potentially herniation of the breast tissue through a tightened ring thus the "tuberous" label. It is a congenital deformity which usually manifests at puberty. To what degree it manifests will vary from one patient to the next. Treatment of tuberous breasts varies depending on the degree of the breast architectural distortion. Surgical correction typically involves: -areolar reduction -submuscular augmentation -release of constricted breast tissue All of these techniques work in concert to correct the tuberous deformation of the breast. Based upon your photos alone, you do not appear to have a classic "tuberous breast deformity." There is very mild lower pole constriction and herniation (on side view) but you are a reasonable candidate for augmentation +/- lift. Persistence of crease or double bubble is a possibility but often times this self corrects with time. and soft tissue stretch. Sizing advice is difficult without measures, however, the key to respect your BWD. Often times a HP device will help correct some tightness in the lower pole. As always, discuss your concerns with a board certified plastic surgeon (ABPS)
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December 12, 2018
Answer: Tuberous? Tuberous breast is not, technically speaking, a "yes" or "no" question. There can be different points on the continuum. The typical hallmarks include a high, tight fold with "puffy" or distended areola, minimal breast tissue and potentially herniation of the breast tissue through a tightened ring thus the "tuberous" label. It is a congenital deformity which usually manifests at puberty. To what degree it manifests will vary from one patient to the next. Treatment of tuberous breasts varies depending on the degree of the breast architectural distortion. Surgical correction typically involves: -areolar reduction -submuscular augmentation -release of constricted breast tissue All of these techniques work in concert to correct the tuberous deformation of the breast. Based upon your photos alone, you do not appear to have a classic "tuberous breast deformity." There is very mild lower pole constriction and herniation (on side view) but you are a reasonable candidate for augmentation +/- lift. Persistence of crease or double bubble is a possibility but often times this self corrects with time. and soft tissue stretch. Sizing advice is difficult without measures, however, the key to respect your BWD. Often times a HP device will help correct some tightness in the lower pole. As always, discuss your concerns with a board certified plastic surgeon (ABPS)
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December 11, 2018
Answer: The Bellesoma No Vertical Scar Lift for tuberous breasts Your breasts are not tuberous but low with wide cleavage. I recommend a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained. At the same time or later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices and half are removed by 9.5 years.Best Wishes,Gary Horndeski, M.D.
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December 11, 2018
Answer: The Bellesoma No Vertical Scar Lift for tuberous breasts Your breasts are not tuberous but low with wide cleavage. I recommend a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained. At the same time or later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices and half are removed by 9.5 years.Best Wishes,Gary Horndeski, M.D.
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December 11, 2018
Answer: Breast Aug Thank you for your question. Your breast are not severe so with that being said I think you will have a great result with a HP implant. The projection on the HP implant will help lift your breast and give a larger looking breast. The ultimate size of the implant is a personal decision and should be discussed with your surgeon to make sure they think it will fit. You can ask your surgeon to see if they offer 3D imaging which can help determine proper implant size for your body based on your goals. Best of luck to you.
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December 11, 2018
Answer: Breast Aug Thank you for your question. Your breast are not severe so with that being said I think you will have a great result with a HP implant. The projection on the HP implant will help lift your breast and give a larger looking breast. The ultimate size of the implant is a personal decision and should be discussed with your surgeon to make sure they think it will fit. You can ask your surgeon to see if they offer 3D imaging which can help determine proper implant size for your body based on your goals. Best of luck to you.
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