Thank you for your question! The standard procedure would be placement of an implant (or tissue expander, depending on the lower pole of your breast) as well as a circumareolar breast lift. These modalities would correct the issues with tuberous breast: constricted breast at the inferior pole, via breast prosthetic; scoring of the tissue to release the bands; lowering the inframammary fold; correcting the herniation of breast tissue into the areolae; and decreasing the overall size of the areolae. These are the hallmarks of tuberous breasts. You could likely get great results with an implant and possible breast lift. If one does truly have a tuberous/constructed breast, placement of the implant in the subglandular position will allow more effective and direct stretching of the tight inferior pole of the breast.Consult with a plastic surgeon well-versed in breast surgery and discuss your goals and expectations. S/he will then be able to examine and discuss the various options and assist you in deciding which decision os the right one for you, given your desires. I would expect a very pleasing result for you! Hope that this helps! Best wishes for a wonderful result!
Tubular breasts are some of the most difficult and unpredictable breasts for breast augmentation. Placement of the breast implant over the must allows faster stretching of the breast tissue by the implant which will help to form the breast into a normal shape. the draw back is that breast skin will continue to stretch and patients get early sagging. Placement of the implant under the muscle is preferable in the long term, but it does take longer for the muscle and the breast skin to stretch out with the implant.
I hav e found the use of the dual plane (both under AND over) to be useful in the management of tubular or constricted breasts.
