Could releasing tubular breasts let them grow naturally? (Photo)

Question

Hello. So obviously I am no doctor. Through surgery that releases constrictive bands that cause tuberous breasts, could breasts then naturally, over time, grow bigger? Or would fat grafting or implants be needed? I do not want implants, my main problem is the constriction in the underboob part of my breasts. Basically I just want to know if tubular boobs could grow bigger naturally after the constrictive bands are released. Thank you!

Zoran Potparic, MD · Answer

It is very interesting question. I do not believe that you can correct tubular breasts to look natural without expanding them after correction whether with implant or fat grafts. If you do not want implants than other option is staged fat grafting possibly using Brava external expansion system. Good luck.

James H. Rogers, MD · Answer

Tubular breast deformity can be mild to severe in degree. Underdevelopment of the lower pole of the breasts with diminshed breast tissue creates a somewhat droopy appearance to the breasts. By making incisions in the breast tissue, the shape can improve and stretch the skin over time. The breasts will not typically grow over time, however. Implants are used to not only provide volume that is missing, but the weight of the implant serves to stretch and shape the tissues .Consult an experienced surgeon to discuss your options for treatment.

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for breast augmentation your case for best result you can apply for position sub muscular with technique inframmary , its recommended if you get a consultation in person with a plastic surgeon to determinate how many cc do you need to the better results.

Badar Jan, MD · Answer

An important question. Releasing the constricting bands within the breast is very important when treating a  tuberous breast deformity. In order to enlarge the breasts, some form of augmentation is needed, either with fat or an implant. Implants are usually the best choice because they maintain the breast in an expanded position and specifically allow the lower pole to stretch into a much more favorable shape.
Best wishes,
Dr. Jan

Pejman Aflaki, MD · Answer

Hell and thank for the question and sharing you photos. I do believe you have elements of tuberous breasts, including high inframammary crease, constricted lower pole and herniation of breast tissue into areola. It is unlikely that breast tissue will grow naturally by just releasing the fibrous band. This can be corrected with breast augmentation in conjunction with scoring of lower pole for better expansion. I would consult with a qualified plastic surgeon for a formal evaluation and more discussion. Best,
Pejman Aflaki, M.D.
  
Johns Hopkins-trained plastic surgeon

F. Ryan Wermeling, MD · Answer

Thank you for sharing your questions and photos.  Tuberous breasts are a complex problem with several things to consider when treating them.  A constricted lower pole, as you know, is a common component.  This comes from an abnormal formation of the fold which changes how the breast tissue develops and positions itself on the chest.  The tissue is structurally different and has a different appearance under a microscope. 
Unfortunately just releasing this constriction will not allow a natural breast development because the position of the breast on the chest is already set once the tuberous changes are identified.  The release must typically be combined with a procedure that resets the position of the breast fold and often an implant serves the role to fill the space left after releasing the constriction band in the lower portion of the breast that concerns you.  This a complex problem and a discussion with a plastic surgeon in your area can help design a plan that is tailored to your needs.

Robert M. Tornambe, MD · Answer

I completely understand your frustration and concern, however you do have constricted or Tuberous  breasts and modest asymmetry. Your best option includes submuscular breast augmentation with release of the constricted lower pole breast tissue. Unfortunately the implants are necessary to maintain the shape and contour of your breasts after release of the constricted tissue. Even fat grafting is ineffective in maintaining the better, more attractive shape of your breasts after release of the constricted tissue. Consult with a board-certified plastic surgeon with lots of experience with breast surgery to review the best options for you. Good luck.

Daniel Barrett, MD · Answer

Dear sadbreasts97,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

Georgios Ziakas, MD, FACS · Answer

Tuberous breast deformity may be a difficult problem to address. Consultation with a plastic surgeon is the best advice.

Adolfo Sesto, MD · Answer

Hi. Tuberous Breast correction involves the placement of implants under the pectoral muscles, to give you a very natural look and correct the condition (not only the release of breast bands). Silicone Cohesive Gel High profile is recommended.International Member of the American Society of Plastic Surgeons (ASPS)
Member of the International Society of Aesthetic Plastic Surgery
25 years experience

Could releasing tubular breasts let them grow naturally? (Photo)

Answers (12)

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