Mild tuberous breast correction advice? (Photos)

Question

My breasts are asymmetrical and the left has been described by my future Dr as "mildly tuberous" with small ptsosis. He suggested anatomical implants, under the muscle, with an inframammary incision. Is this what you would recommend? Is moderate, round implants an option with this breast shape? I want to achieve a natural looking slope and shape whilst keeping my breasts relatively small. My Dr is in a different city and I will be going for my full consultation a day before my surgery.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures.  Do not be surprise dif you receive differing opinions from different plastic surgeons. Ultimately, what matters most,  when it comes to deciding upon the best breast operation for you: YOUR concerns and goals. For example (in your case), given the breast asymmetry and mild breast ptosis present, some patients would like to undergo circumareolar (Benelli) breast lifting along with breast augmentation surgery.  In my practice, this operation would be gone with an incision around the areola only.  This operation would serve to move the nipple/areola complexes higher on your chest wall and should serve to improve your breast symmetry as well.These days there are a variety of breast implants available; the variety of breast implant available raise a lot of questions from women considering breast augmentation surgery. Personally, I think that for most patients considering breast augmentation surgery, careful selection of plastic surgeon and careful communication of goals, far outweigh the specific type of breast implant utilized (when it comes to the success of the breast augmentation procedure).
Anatomical breast implants were designed to better simulate the natural breast shape; the problem with these implants is that if they shift or rotate, the entire breast will change shape as well. This change in breast shape may require further surgery to correct. Round implants, under the hand, can shift or rotate without changing the shape of the breasts. ***Overall, I find that beautiful outcomes can be achieved with the use of round saline or silicone gel breast implants for the vast majority of patients.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “very natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes for an outcome that you will be very pleased with.

William Andrade, MD · Answer

Hello, there is a wide range of opinion which implants will best correct a mildly ptotic shape.  I've used both teardrop and round implants in this situation and have achieved good results with either type.  I use round implants for the majority of cases but some surgeons prefer the outcomes they can achieve with teardrop textured implants.  Your surgeon can explain the relative advantages and disadvantages in your case.

Fereydoon S. Mahjouri, MD · Answer

you do not have tuberous breasts, Thy are asymmetrical ans slightly apart. A sot of moderate or high profile implants ,under muscles would give you natural looks.

Brooke R. Seckel, MD, FACS (retired) · Answer

Fortunately you do not have tuberous breasts.  You do have an asymmetry with slight ptosis on the left side.  A survey of experienced board-certified plastic surgeon specializing in cosmetic surgery revealed at 87% of this experienced a group use smooth round cohesive silicone gel breast implants. I see no specific reason to have textured anatomic breast implants especially with recent evidence that textured breast implants carry a risk, although very small, of a tumor: Anaplastic large cell lymphoma.For perfect symmetry you may need a small lift on the left lower side.

Mild tuberous breast correction advice? (Photos)

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Mild tuberous breast correction advice? (Photos)

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Everything you need to know about Tuberous Breast Correction Surgery

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