Benelli Lift plus silicone implants for tubular breasts? (photos)

Yes, tubular breasts may need multiple procedures until final resolution, this is a fact.I recommend the use of implants of high adherence, because the lower (absent) pole of the newly built breast will push upwards the implants for months, leading to upper dislocation and causing such need for re-operation. The highest adherence and the model I recommend is the polyurethane coated implants, they make bio velcro with your ribcage and it is nearly impossible they displace upwards, standing perfectly and tightly the upwards pressure of the abdominal skin gained with the (necessary) lowering of the sumammary fold which allows perfect centering of the implants' peaks behind the nipples (a must of harmony in any breast augmentation).

Your photos show a variation of the tuberous breast deformity, in which the breast tissue develops in a more narrow, central location behind the areolae, resulting in the nipples and areolae bulging forward.  Usually there is a smaller horizontal width or vertical height of the breast tissue.  Breasts with this condition can be large, underdeveloped, or even have a significant difference in size and shape between the two breasts.  the standard treatment in a single stage operation that includes a periareolar lift (a variation of the Benelli lift), scoring of the capsule around the breast tissue to release the constiction and allow the tissue to spread outward, and placement of a breast implant (silicone or saline) to enlarge the breasts.  This usually creates a much more normal looking breast with a nice shape.  Be sure to seek out a plastic surgeon who has experience treating tuberous breasts.

The pictures show a mild to moderate tubular deformity. There is herniation of the gland through the nipple/areolar complex. The correct procedure in my opinion is a circum-areolar mastopexy with a small to moderate sized implant and glandular scoring. I would recommend a round implant in the partial sub-muscular/dual plane position.

The size of the implant depends on how tight the skin of your lower pole is.  If it is very tight, you may benefit from an expander to stretch the skin before placing an implant.  Usually however, you can undergo the placement of an implant of modest size that will stretch the skin.  Eventually a large implant can be placed if that is your desire.  The periareolar lift will help center the nipple/areola complex over the implant.  

Thanks for your question.  The Benelli lift plus implants is a common solution to the tuberous breast shape.   It is not uncommon to get a good result with one operation, but tuberous breasts can be more challenging to treat so a secondary procedure is always a possibility.

The first thing you must realize is that you do not have significant nipple ptosis.  I would treat your case with a transaxillary (through the armpit) approach, aggressively stretch and score your inferior pole intraoperatively, place anatomically shaped implants that will help continue the expansion and place the implants in the "Cold-Subfascail plane) which allows more control of breast shape.  You will likely need some degree of strapping and massage postoperatively for 4-6weeks.  I believe this would yeild a very nice result with correction of your already widely spaced breasts.  Any sub muscular or dual-plane technique will accentuate this and I would strongly steer you away from those procedures.  Any further tweaks can be easily managed with fat grafting techniques but I do not think it would be necessary in your case.  I hope this helps!All the best,Rian A. Maercks M.D.

That seems like it should be a good plan to treat your anatomy and help you achieve your goals. Good luck!

Hi.  Yes - the benelli lift, together with an implant, can improve many of the features of the tuberous breast.  It's the procedure I do most commonly for this problem.  However, it does not address the shortness of the nipple to fold distance.

I usually perform a Benelli (circumareolar) lift with implant placement and aggressive scoring of the gland for tubular breast issues. Sometimes I will actually remove some of the glandular tissue and often fat grafting is used to help the shape. These are usually not simple procedures to get right and best to go to someone who does these regularly.

The posted photos demonstrate MORE than tuberous deformity. Also seen is ptosis left>right , areolae hypertrophic, wide set breasts with no cleavage. You most likely would need multiple operations. First implants with areolae reduction and lift on left. Fat grafting with riggotomies for inferior pole deformity. Correction for cleavage not possible . Best to seek MORE in person opinions.