I'm 36 years old and have always felt like my breast were unattractive and like they never fully developed. I would like to get surgery, but I've had several consultations with very different approaches suggested. I am athletic so I would prefer only to add enough volume to give me a beautiful breast shape and I don't care to have fake-looking projection or breasts too far apart. What approach would you suggest?
Answer: Tuberous Breast This is a complicated question to answer. The inframammary approach (in the breast fold) is without a doubt the best incision for breast implants with respect to decreasing risk of capsular contracture and long term problems. The traditional teachings for this is to use an incision around the bottom of the areola. I would recommend using an incision in the breast fold as this provides optimal visualization and the least amount of risk for contamination with dirty skin around the nipple areolar complex. I would recommend seeing a board certified or board eligible plastic surgeon with aesthetic surgery training/experience who can perform a full exam and provide safe recommendations.
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Answer: Tuberous Breast This is a complicated question to answer. The inframammary approach (in the breast fold) is without a doubt the best incision for breast implants with respect to decreasing risk of capsular contracture and long term problems. The traditional teachings for this is to use an incision around the bottom of the areola. I would recommend using an incision in the breast fold as this provides optimal visualization and the least amount of risk for contamination with dirty skin around the nipple areolar complex. I would recommend seeing a board certified or board eligible plastic surgeon with aesthetic surgery training/experience who can perform a full exam and provide safe recommendations.
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September 16, 2022
Answer: Tuberous breast deformity treatment The approach to surgical treatment of tuberous breast deformity is well described in the plastic surgery literature. The problem involves an abnormally constricted lower portion of the breast as well as herniation of the breast gland into the areola. Surgical treatment involved treatment of these particular issues. It usually involves an approach around the nipple where the lower portion of the breast is released to allow more space for an implant to be placed. Usually excess areolar skin is removed during this technique. The result is a natural appearing breast with nice shape and the problems of tuberous breast corrected. Please see our attached link for more information.
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September 16, 2022
Answer: Tuberous breast deformity treatment The approach to surgical treatment of tuberous breast deformity is well described in the plastic surgery literature. The problem involves an abnormally constricted lower portion of the breast as well as herniation of the breast gland into the areola. Surgical treatment involved treatment of these particular issues. It usually involves an approach around the nipple where the lower portion of the breast is released to allow more space for an implant to be placed. Usually excess areolar skin is removed during this technique. The result is a natural appearing breast with nice shape and the problems of tuberous breast corrected. Please see our attached link for more information.
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August 10, 2022
Answer: Considerig augmentation From your photos it appears you would benefit from an augmentation with implants and a periareolar lift with areola reduction. This would give better shape to the breasts, including more upper pole fullness. It would also reduce the diameter of the nipple/areola complex as well as lift the position of the nipple. See a board certified plastic surgeon near you to learn more.
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August 10, 2022
Answer: Considerig augmentation From your photos it appears you would benefit from an augmentation with implants and a periareolar lift with areola reduction. This would give better shape to the breasts, including more upper pole fullness. It would also reduce the diameter of the nipple/areola complex as well as lift the position of the nipple. See a board certified plastic surgeon near you to learn more.
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August 10, 2022
Answer: Tuberous breast Thank you for your question. There are a couple maneuvers that need to be undertaken to fix a tuberous breast. Do you need an incision around the areola to access the breast pocket. Then the constriction bands in the lower part of the breast need to be released as the brass fault is higher than its normal position. Additionally your breasts are sitting far apart so some construction bands would need to be Released towards your sternum as well this would create enough space to place a small to moderately sized implant, either silicone or sailing. Either at this time or as an additional stage in order to put a smaller implant in as well as to soften the shape of the breast you can undergo fat grafting As a highbred type procedure. Good luck.
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August 10, 2022
Answer: Tuberous breast Thank you for your question. There are a couple maneuvers that need to be undertaken to fix a tuberous breast. Do you need an incision around the areola to access the breast pocket. Then the constriction bands in the lower part of the breast need to be released as the brass fault is higher than its normal position. Additionally your breasts are sitting far apart so some construction bands would need to be Released towards your sternum as well this would create enough space to place a small to moderately sized implant, either silicone or sailing. Either at this time or as an additional stage in order to put a smaller implant in as well as to soften the shape of the breast you can undergo fat grafting As a highbred type procedure. Good luck.
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August 8, 2022
Answer: The best way to do it is not what most surgeons recommend We have held on tightly to the concept of simultaneous implant placement and circumareolar lift, but this 'gold standard' has an 80% complication rate requiring revision surgery. Instead, a planned second operation will accomplish much more than an unplanned one that is dealing with complications. Careful selection of implants is necessary and should not be unduly influenced by patient aesthetic goals, which tends to push the surgeon into using larger implants; excessively large implants leads to most of the problems and reoperations. The first surgery should involve placement of the implants, and ideally, fat grafting to the inner and lower poles of your breasts. A second surgery performed later when your breast tissues are no longer tight (9 to 24 months) would include the appropriate breast lift to create an optimized result, not necessarily a circumareolar lift. The delay in the breast lift will allow the surgeon to place the nipple areolar complex in the optimal position with the least amount of tension.
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August 8, 2022
Answer: The best way to do it is not what most surgeons recommend We have held on tightly to the concept of simultaneous implant placement and circumareolar lift, but this 'gold standard' has an 80% complication rate requiring revision surgery. Instead, a planned second operation will accomplish much more than an unplanned one that is dealing with complications. Careful selection of implants is necessary and should not be unduly influenced by patient aesthetic goals, which tends to push the surgeon into using larger implants; excessively large implants leads to most of the problems and reoperations. The first surgery should involve placement of the implants, and ideally, fat grafting to the inner and lower poles of your breasts. A second surgery performed later when your breast tissues are no longer tight (9 to 24 months) would include the appropriate breast lift to create an optimized result, not necessarily a circumareolar lift. The delay in the breast lift will allow the surgeon to place the nipple areolar complex in the optimal position with the least amount of tension.
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