I have a constricted lower pole. should I be concerned? (photos)

Hi. Interesting to note that the breasts demonstrated in both phots do not look like the same person. There is also a tatoo that apears in one that does not appear in the other. Anyhow, a breast augmentation with a little bit of work to release the cinstrictive bands should do the trick. I would usev silicone gels 325cc moderate gh profiles, either through the areola or fold. A personal exam is always best.I encourage you to look up the surgeon you eventually select and make sure they have years of experience in performing cosmetic breast surgery. Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits?How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications.I wish you the best on your journey. I hope that the info provided has been helpful. Should you require any further clarification, do not hesitate to contact our institute. I answer all questions personally, not through patient coordinators or other marketing individuals.In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up. Good luck Dr. PG

Hello,The breasts pictured certainly have lower pole constriction, one of the characteristics of a tubular breast.  If your breasts resemble the ones pictured, then your augmentation should be handled by someone who has a lot of experience with breast implants and tubular breasts.  As another MD mentioned you may benefit from a shaped implant.  An in-person consultation will answer your questions more specifically.  Best of luck to you, 

Thank you for your question.  You are correct in that you may have some constriction of the lower pole of your breasts, if your breasts look like the photos you have shown us.  The inframammary fold is quite high and tight.  To best correct this, you may benefit from placement of the implant above the muscle so that this constriction can be corrected.  Placement of the implant underneath the muscle may result in a double bubble deformity.  Please consult with a board certified plastic surgeon who can advise you further.  

From the photos you attached, it seems you are constricted on the lower aspect of your breasts. This can be corrected by a procedure designed for tubular or contricted breasts and I would also consider an anatomic implant to help inprove the volume of the lower aspect of your breasts where they are most deificient. You should see a board certified plastic surgeon in your area to get a formal opinion through an in-person consultation.Best of luck,
Vincent Marin, MDSan Diego Plastic Surgeon

If you have a breast that resembles the photos you may benefit from an augmentation with an anatomically shaped silicone gel implant.  The character of this gel implant is different from the standard gel implants.  The anatomic gel will be better able to fill out the tight lower pole of the breast to help create an overall better shaped breast.Best of luck.

Thank you for the question and examples of pictures similar to your breasts.
I think the photos do demonstrate some of the characteristics seen with tubular (constricted) his breast. For example, the distance from the areola to inframammary folds seems to be tight and relatively short. The inframammary folds seem to be widely spaced from the midline of your chest. The areola do demonstrate some features associated with tubular breast such as an increased width and “puffiness”.
You will benefit from an in-person consultation with well experienced board-certified plastic surgeons. This consultation will allow for accurate advice that is best provided after a thorough history, physical domination, and detailed discussion of your goals. There are a lot of factors to consider when making recommendations; for example your life circumstances (planned pregnancies, psychosocial situation…) and tolerance for scars are factors that should be taken into consideration by you and your plastic surgeon.
I hope this, and the attached link (dedicated to constricted/tuberous breast surgery) helps.

your condition is quite common. It can be improved significantly by use of breastimplants and an internal scoring technique. Consult a board-certified plastic surgeon.