Scoring of constricted breast tissue?

I appreciate your question.





Constricted or tubular breasts tend to be too narrow with a breast crease that is too high. Tight ring-like bands of tissue around the areolae and nipples may create the appearance of protruding or puffy areolae. A higher than normal breast crease may make your nipples appear to be too low or down pointing. Constricted breast features can be very mild or severe. In fact, mild variations are relatively common. To summarize, the features can include:



         Inframammary fold (breast crease) too high         Inframammary fold misshapen         Breasts too narrow (disproportionately narrow base width)         Insufficient breast skin         Constricted or tubular shape, resulting from tight bands of tissue within breasts         Protruding or bulging appearance of areolae (pigmented area around nipples)Improvement is possible and generally includes a breast augmentation, sometimes combined with a lift (mastopexy). The lift is usually limited to an incision around the areolae. During the procedure, I release the tight, constricting bands from the inside, allowing the skin to expand properly. I also lower the inframammary fold to a more ideal position and improve its shape. Breast implants help create the right amount of volume and improve breast contours, resulting in a more rounded or tear drop shape.





The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.





Best of luck!Dr. Schwartz



Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon

Thank you for your question.  Although it is possible to score the inferior pole breast tissue through an inframammary fold incision, it may not be the correct incision location for your surgery.  If you have a form of tuberous breast deformity and require a circumareolar mastopexy, the augmentation and breast parenchyma/tissue scoring should likely all be done through the mastopexy incision.  To be sure, discuss with your surgeon.  Best wishes!

Hi and thank you for the question. The surgery can be performed through the nipple or the fold. The approach that would make most sense for you depends on your anatomy. Getting an excellent outcome is more challenging for patients with constricted breasts. Make sure you choose a surgeon who can demonstrate to you that they understand and have experience with constricted breasts. 

Dr West