Is it possible to have a tuberous breast correction with hypermobile Ehlers-Danlos Syndrome?

I
have performed The Bellesoma Method on a patient with hypermobile Ehlers-Danlos
Syndrome approximately 1 year ago with excellent results.  I do not recommend the lollipop incision because
the skin closure is compromised by the Ehlers-Danlos Syndrome.  The Bellesoma Method uses internal weight
transfer to the underlying pectoralis major muscle resulting in long term
stability.  Vertical scars are avoided,
nipple sensation and the ability to breast feed are maintained.  The lollipop mastopexy is pedicle based,
which cuts the nerves and ducts and results in loss of nipple sensation and the
inability to breast feed.Best Wishes,Gary Horndeski, M.D. 

Hi tay2424,

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.

When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.

Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.

Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.

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, MHA, MS

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery

If you are only having a lift, then you probably just have ptosis or sagging and not actually tuberous breasts. Implants are used to help reshape tuberous, shaped like tubers, breasts which is not done with a lift. If your skin the fairly stretchy, you will probably stretch after the lift. Please wear a good supporting bra while healing.

Dear Tay2424,Hello and thank you for your excellent question.  You should be evaluated for a No-Vertical-Scar, No-Implant breast lift technique.  Some people refer to this as the Bellesoma Breast Lift technique. Our technique provides an exceptional breast lift, upper pole fullness, relief from neck and back pain, and no vertical breast lift scar. It uses a woman’s OWN breast tissue to produce an internal suspension technique, without the need for a breast implant. It does not disturb the nipple, areola, or breast glands, so sensation and the ability to lactate is preserved. It uses 3D scanning of your breasts and body to design a procedure specifically designed for YOU, and you alone. Finally, for patients who desire breast enlargement, it can be combined with fat grafting. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Texas “Top Doc” 2017, 2018

RealSelf100

America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 – 2018

BeautyAdvisor Top Contributor