I'm 29, have not had children but want children. I've had 2 consults for breast augmentation. They started I have tubular breasts, 14" diameter, and constricted at the base of 4. One stated I needed a nipple lift, which I don't really want and if I do need, I will wait until after children. The other stated that she would do the augmentation with release of the constructed fibers, move my crease down and score the base. If needed do a second surgery to the nipple lift later. What do I do?
Answer: Do I truly need a nipple lift with tubular breasts? Can just implants, stretching the base and scoring help the shape? I treat most patients with tuberous breasts with augmentation only, taking care to score the lower pole to allow expansion of the lower breast. The breast shape improves noticeably over time in most cases, and patients are pleased with the results. I nearly never do breast lifts since, in the case of areolar reduction or donut mastopexy, the breast is flattened, the areola nearly always stretches back to its original size or larger, and the scars are often ugly. Any other type of lift will usually remove too much skin from the lower pole, which is tight to begin with. I do find that the tuberous breast tends to be overtreated. This is especially unfortunate, as patients are often young and are left with unnecessary deformities that can be difficult to correct. All the best.
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Answer: Do I truly need a nipple lift with tubular breasts? Can just implants, stretching the base and scoring help the shape? I treat most patients with tuberous breasts with augmentation only, taking care to score the lower pole to allow expansion of the lower breast. The breast shape improves noticeably over time in most cases, and patients are pleased with the results. I nearly never do breast lifts since, in the case of areolar reduction or donut mastopexy, the breast is flattened, the areola nearly always stretches back to its original size or larger, and the scars are often ugly. Any other type of lift will usually remove too much skin from the lower pole, which is tight to begin with. I do find that the tuberous breast tends to be overtreated. This is especially unfortunate, as patients are often young and are left with unnecessary deformities that can be difficult to correct. All the best.
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Answer: Surgery for Constricted Breasts The inferior portion of your breast does look constricted. I suspect that a breast augmentation with radial scoring/ release and lowering of your inframammary crease would give you a good result. Your tissue doesn't appear to be herniating into the nipple/areolar complex, which is sometimes seen with tuberous breast deformities, so an areolar reduction doesn't seem necessary. It is hard for me to tell from the pictures the degree of breast droop is present, so a small lift could potentially be beneficial. However, since you don't want a lift and you want to have kids, you could always reassess your breast shape/ nipple position after your augmentation and completion of breast feeding.
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Answer: Surgery for Constricted Breasts The inferior portion of your breast does look constricted. I suspect that a breast augmentation with radial scoring/ release and lowering of your inframammary crease would give you a good result. Your tissue doesn't appear to be herniating into the nipple/areolar complex, which is sometimes seen with tuberous breast deformities, so an areolar reduction doesn't seem necessary. It is hard for me to tell from the pictures the degree of breast droop is present, so a small lift could potentially be beneficial. However, since you don't want a lift and you want to have kids, you could always reassess your breast shape/ nipple position after your augmentation and completion of breast feeding.
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September 11, 2018
Answer: The Bellesoma Lift for tubular breasts
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September 11, 2018
Answer: The Bellesoma Lift for tubular breasts
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September 9, 2018
Answer: Tuberous breasts Dear tterhune3,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.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, 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
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September 9, 2018
Answer: Tuberous breasts Dear tterhune3,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.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, 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
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September 9, 2018
Answer: Tuberous breasts Hello and thank you for your question. Your breasts do appear to be tuberous with lower pole constriction. You are a great candidate
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September 9, 2018
Answer: Tuberous breasts Hello and thank you for your question. Your breasts do appear to be tuberous with lower pole constriction. You are a great candidate
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