Tubular breasts - is it possible to reconstruct my breasts without implants? I do not care about size. (photos)

Question

I have tubular breasts: enlarged areola, no underboob, my breasts are an abnormal shape and are very far apart. This is affecting my confidence like nothing else ever could and I am not able to lead a romantic relationship because I feel abnormal. Ideally I would have a average sized areola, round shaped breasts and underboob. Would it be possible to had an Areola Reduction, breast lift and possibly a fat insertion as opposed to implants? The photos show how my breasts change with temperature.

Alejandro Nogueira, MD · Answer

You are right, you have tuberous breasts of high grade of deformity, being your concerns more than justified; I am treating tuberous breasts and using my own proprietary technique more than 15 years ago, and many many patients come to me with the same question: may I be fixed without implants?The answer is: theoretically yes, in practical terms not. I'll develope.You wish smaller areolas; ok, this is accomplished by areola reduction, not a big deal and no need for implants for such goal.You need a rounded breast mound, no conical shape, no tubular breast anymore; ok, also feasible with one (mine or others) of the techniques allowing the transformation from tubuloconical to round; implants neither required about this.But you also need, seek and would not be ever happy without it, you also dream of having these tuberous breast deformities corrected:-fullness of upper pole: typically empty in every and each tuberous breast due to the constriction righ which restrains the breast growth to such limited base-lowering of the inframammary crease: the constriction ring of tuberous breasts do set the submammary fold at a way higher than normal level thus leading to emptiness of brassieres, bikinis and a weird mammary shape-connected with the previous item you massively lack breast mass or volume, in crescent or banana shape, below your current submammary crease the anatomically canonical location of the new and required surgically-built inframammary creaseThese 3 previous deformities can be corrected ONLY using breast implants, highly recommendably anatomical shaped ones, and if possible polyurethane coated to prevent their typical cephalic migration in tuberous breasts. Other options as synthetic fillers, fat transfers, etc are dangerous, disappointing or deforming.Hence you have 2 options:-without implants: you'd get a small tiny ball of breast beneath the smaller areola, but no upper pole fulness, no reconstruction of the lower pole, no descent of the inframammary crease, it is a parcial correction and always a frustrating insufficient improvement, guarantee you'll seek surgery again to receive the implants-with implants: to receive both, glanduloplasty, areola treatment and reshaping plus full reconstruction of the tuberous deformity and complete repair; a really rewarding procedureOnce said, it is clear no one of my patients ever chose a partial correction, however I receive revisional cases of frustrated patients done elsewhere who seek the implants.I strongly recommend you seek the services of a surgeon highly experienced in tuberous breast deformity treatment, masters anatomical implants and if possible he has experience in polyurethane coated prostheses.See the link below to find many cases of my own practice very similar to yours which I had the opportunity to operate successfully on, sharing a lot of common features with the technical problem you have posted.
If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also underneath the nostrils.
Feel free to request any additional information from me.

Daniel Barrett, MD · Answer

Hi hannahleigh1,
  
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. 
  
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

Karl William Schwarz, MD · Answer

Tuberous breasts are a relatively common problem. I would see someone that has experience treating them because there is a lot more to it then it might first appear.
In my opinion you would be best served with implants. The implants can change the shape of your breast whereas a fat graft will not be able to exert the force needed to change your breasts and I think you would be left with relatively minor improvement.
The problem is there is a tight, constrictive band that prevented the breast from developing normally so you need to divide the band and then place an implant in to keep it open so to speak and prevent the breast from narrowing again. The implant can also help to recruit more skin from your abdomen to get more tissue under your breast. Unfortunately fat doesn’t have the ability to do this and it will just increase your volume but not do the other things needed to change the shape of your breasts.

Larry Weinstein, MD · Answer

Yes, your breasts can be improved by an areola reduction or splaying internal technique. fat transfer can improve your volume by one cup size at best long term. Many photos are available of great results short term. Be wary. You can always get implants as a secondary procedure if you so choose. By the way you are a beautiful woman weather you get your breasts changed or not. Your confidence is more important then your chest. Good luck...

James Murphy, FRCS(Plast) · Answer

Many thanks for your question. It is quite possible to have your breasts reshaped, and a reduction in the size of your areolae as part of a mastopexy procedure. An implant does not need to be involved, though it could be if you wanted to be bigger. In addition, alternative techniques such as fat transfer could add some volume or improve the shape in a more subtle way. I don't think you can get a really good idea of the best option until you have a face-to-face consultation with an appropriately qualified and experienced surgeon.

Tubular breasts - is it possible to reconstruct my breasts without implants? I do not care about size. (photos)

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Tubular breasts - is it possible to reconstruct my breasts without implants? I do not care about size. (photos)

Answers (10)

Answer: Tubular breast deformity

Answer: Tubular breast deformity

Answer: Tubular breasts

Answer: Tubular breasts

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Everything you need to know about Breast Lift

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