Tubular breasts/asymmetrical - how can this be treated?

Question

I have tubular breasts that are very asymmetrical in size and wondering if I have any chance of OHIP agreeing to cover the cost of a breast augmentation to 'correct' this deformity. I'm incredible insecure about the shape/size. I have issues finding bra's, bathing suits, clothes that will fit my underdeveloped, mishapened, uneven chest.

Leila Kasrai, MD, FRCSC · Answer

OHIP does not typically cover any cosmetic breast surgery, including for the correction of tubular breasts.

Michael Kreidstein, MD, FRCS(C) · Answer

In our experience, OHIP will cover surgery for extreme (2 cup size) volume discrepancy (including augmentation and reduction), but not for problematic shape including tuberous breast.  You should see a reputable surgeon to get advice on your best options, and even if surgery is not covered by OHIP you may find the cost is acceptable.  Good luck!

Ram Kalus, MD, FACS · Answer

Unfortunately, insurance will rarely if ever cover the fees associated with correction of breast asymmetry, which is very common, unless it is syndromal or very severe, such as Poland's Syndrome. Your problem or concern is not to be dismissed or ignored, but your expectations should be realistic with regard to how it might get paid for. I recommend consulting with an experienced board certified plastic surgeon whose aesthetics and reviews resonate for you, and let him or her advise you on your best treatment options. Best of luck to you.

John L. Burns Jr., MD · Answer

Both tubular breasts and asymmetry and very common.  Tubular breasts have a tight lower pole, herniation of breast tissue into the areola, and a decreased nipple to fold distance.  Treatment generally entails the following approach:  periareolar incision, sub glandular pocket placement, radially scoring of the breast parenchyma to release the constriction and allow the breast to expand over the round implant, and restoration of the nipple to fold distance by lowering the breast crease.  For asymmetry you can use a larger implant in the smaller side.  I'm not sure about insurance covering the procedure but we wish you all the best in your search for the right surgeon.

Tubular breasts/asymmetrical - how can this be treated?

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