Recommendations for tuberous breast procedures? (photo)

Question

What type of implant/size is recommended for a type III severely constricted tuberous breasts? Slender/athletic body 5’0” 105 lb. I want to stay active without getting too large of implants.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Glorious693218,
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

Onur Ogan, MD · Answer

Hello Glorious693218
Tuberous breast is presented with insufficient lower pole volume and high located IMF while variable degree of breast tissue herniation inside the areola. To correct this problems it is wiser to choose teardrop implants in subfascial plane while lowering IMF via periareolar incision (to correct the herniation). Selection of the implant volume should be made due to the physical examination and your expectations
Best Regards

Connie Hiers, MD, FACS · Answer

Implants with a moderate to moderate plus profile will give you more width that you are lacking, instead of high profile implants.

Camille Cash, MD · Answer

From your photos you would benefit from a periareolar lift to correct nipple herniation and create a proportionate areola size.  You can discuss your goals for breast size with your surgeon.  Based on your breast width measurements and goals for surgery the correct implant size can be recommended for you.  See a board certified plastic surgeon near you to learn more.

Recommendations for tuberous breast procedures? (photo)

Answers (6)

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