I am 42 with a small 34B chest. I am 5'10" and weigh around 140 lbs. I am wondering if I seem to have tuberous/constricted breasts and if fat transfer may be a good option for me. If an implant is needed, would I need a surgeon who knows how to release constricted breasts prior to implant?
Answer: Fat transfer vs. Implants vs. Both Hello, While you do not have overt tuberous breast deformity, you do have some lower pole constriction which can be seen on the lateral images (side views). I think implants, fat transfer, or a combination of both would work for you. What really matters are your end goals... You will get more volume with an implant which you are not able to get with fat transfer alone. However, I love performing fat transfer and the results are great. You just have to be realistic about your volume goals and go to someone who will listen. Fat transfer can also require multiple sessions as only 60-80% of fat will survive, so also be prepared for that. Also, you must have fat to transfer. If you don't have good stores of fat, then unfortunately you won't be a candidate for fat transfer.A well-trained plastic surgeon will know the diameter of the implant and your nipple to inframammary fold measurements and how that will need to be addressed with implant placement (will likely need to be lowered). Even with an implant which will provide most of the volume, fat grafting can provide superior fullness and medial cleavage an implant cannot. You have a wide space between your breasts, so fat in this area would improve cleavage and decrease the look of widened implants.Overall, you have a wonderful starting canvas to have exceptional results in the right hands. You need to be prepared to express your size goals and understand the process of each route. You have multiple options that would work for your breasts.Good Luck!
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Answer: Fat transfer vs. Implants vs. Both Hello, While you do not have overt tuberous breast deformity, you do have some lower pole constriction which can be seen on the lateral images (side views). I think implants, fat transfer, or a combination of both would work for you. What really matters are your end goals... You will get more volume with an implant which you are not able to get with fat transfer alone. However, I love performing fat transfer and the results are great. You just have to be realistic about your volume goals and go to someone who will listen. Fat transfer can also require multiple sessions as only 60-80% of fat will survive, so also be prepared for that. Also, you must have fat to transfer. If you don't have good stores of fat, then unfortunately you won't be a candidate for fat transfer.A well-trained plastic surgeon will know the diameter of the implant and your nipple to inframammary fold measurements and how that will need to be addressed with implant placement (will likely need to be lowered). Even with an implant which will provide most of the volume, fat grafting can provide superior fullness and medial cleavage an implant cannot. You have a wide space between your breasts, so fat in this area would improve cleavage and decrease the look of widened implants.Overall, you have a wonderful starting canvas to have exceptional results in the right hands. You need to be prepared to express your size goals and understand the process of each route. You have multiple options that would work for your breasts.Good Luck!
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November 22, 2024
Answer: Do I have tuberous breasts? You have very little constriction around the areola. This could easily be released at the time of fat transfer
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November 22, 2024
Answer: Do I have tuberous breasts? You have very little constriction around the areola. This could easily be released at the time of fat transfer
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October 2, 2024
Answer: Tuberous breasts? No you do not have tuberous breasts. Your breasts have a normal, natural shape and enhancement (if desried) would be very uncomplicated either by fat or implant. Thank you.
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October 2, 2024
Answer: Tuberous breasts? No you do not have tuberous breasts. Your breasts have a normal, natural shape and enhancement (if desried) would be very uncomplicated either by fat or implant. Thank you.
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March 29, 2024
Answer: From the photos, it seems like you have tubular breasts. Depending on the size you wish to achieve, a suitable implant can be chosen for you. I usually prefer minimal fat grating to the breast, and do it only if the breast tissues are suitable. So I would recommend a breast implant together with fat transfer, also known as a hybrid breast augmentation. I would prefer to conduct a consultation and evaluate your condition through a physical examination for a more exact answer. While the position of the nipples may change, the overall position of the breast tissue usually remains relatively unchanged. Therefore, it's important not to expect a significant repositioning of the breast tissue when undergoing breast augmentation procedures.
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March 29, 2024
Answer: From the photos, it seems like you have tubular breasts. Depending on the size you wish to achieve, a suitable implant can be chosen for you. I usually prefer minimal fat grating to the breast, and do it only if the breast tissues are suitable. So I would recommend a breast implant together with fat transfer, also known as a hybrid breast augmentation. I would prefer to conduct a consultation and evaluate your condition through a physical examination for a more exact answer. While the position of the nipples may change, the overall position of the breast tissue usually remains relatively unchanged. Therefore, it's important not to expect a significant repositioning of the breast tissue when undergoing breast augmentation procedures.
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March 29, 2024
Answer: Tuberous breasts Dear tryingtodecide14, based on your photos, it looks like you don't have tuberous breasts. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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March 29, 2024
Answer: Tuberous breasts Dear tryingtodecide14, based on your photos, it looks like you don't have tuberous breasts. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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