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?
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 Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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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 Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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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 for a breast augmentation using a dual plane technique and release of lower pole constriction bands. I do not think you will need a formal lift. This entire surgery can be performed with a small incision technique. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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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 for a breast augmentation using a dual plane technique and release of lower pole constriction bands. I do not think you will need a formal lift. This entire surgery can be performed with a small incision technique. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful