I had my heart set on going under the muscle. I want natural looking results. I was originally quoted on going under the muscle and now it has changed to over to "achieve a better shape". I have seen a ton of great results of women like me who have gone under the muscle. I am having a very difficult time finding any information or photos on anyone with tuberous breasts that have had implants over the muscle. Please help. *Note: Tissue expansion etc is also being done, not just an implant.
Answer: Tuberous breasts Tuberous breasts are defined by two main characteristics: 1. a tight constricting "band" encircling the base of the breast and causing it to be narrowed and 2. an enlarged areola. You have both of these characteristics. I do NOT think that you necessarily have any asymmetry. I think it may look that way simply by the way your picture is taken. In my hands, I would suggest a peri-areolar (aka, donut or Benelli) mastopexy to keep your areolae from expanding further after breast augmentation. This would also help elevate your areolae slightly. The constricting bands could also be addressed through this approach. Finally, I would put your implants under your chest muscle. I feel like the long term results would be better with submuscular placement as you appear to have minimal breast tissue coverage. Also, submuscular placement would decrease your risk of capsular contracture.
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Answer: Tuberous breasts Tuberous breasts are defined by two main characteristics: 1. a tight constricting "band" encircling the base of the breast and causing it to be narrowed and 2. an enlarged areola. You have both of these characteristics. I do NOT think that you necessarily have any asymmetry. I think it may look that way simply by the way your picture is taken. In my hands, I would suggest a peri-areolar (aka, donut or Benelli) mastopexy to keep your areolae from expanding further after breast augmentation. This would also help elevate your areolae slightly. The constricting bands could also be addressed through this approach. Finally, I would put your implants under your chest muscle. I feel like the long term results would be better with submuscular placement as you appear to have minimal breast tissue coverage. Also, submuscular placement would decrease your risk of capsular contracture.
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Answer: Breast Augmentation with Mini Ultimate Breast Lift™ I recommend a new technique called Breast Augmentation with Mini Ultimate Breast Lift™.Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage.Through the same incision, implants can be placed.Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant.Small round textured silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision.Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it.A tissue expander is only necessary if you want large implants otherwise a small implant can be done simultaneously.Best Wishes,Gary Horndeski, M.D.
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Answer: Breast Augmentation with Mini Ultimate Breast Lift™ I recommend a new technique called Breast Augmentation with Mini Ultimate Breast Lift™.Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage.Through the same incision, implants can be placed.Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant.Small round textured silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision.Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it.A tissue expander is only necessary if you want large implants otherwise a small implant can be done simultaneously.Best Wishes,Gary Horndeski, M.D.
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July 6, 2014
Answer: Tuberous breasts Thank you for your question. You need to understand that tuberous breast deformity is a difficult and challenging problem and needs to be addressed in a careful manner. Although you may have implants placed under the muscle you would need a dual plane approach anyway to release the tight constricted breast tissue. You have some nipple asymmetry and you will need a breast lift to match the two breasts. A tissue expander placed initially will allow you to have a larger implant later. It is important that you seek consultation with a board certified plastic surgeon who has extensive experience with tuberous breasts to achieve the best result.
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July 6, 2014
Answer: Tuberous breasts Thank you for your question. You need to understand that tuberous breast deformity is a difficult and challenging problem and needs to be addressed in a careful manner. Although you may have implants placed under the muscle you would need a dual plane approach anyway to release the tight constricted breast tissue. You have some nipple asymmetry and you will need a breast lift to match the two breasts. A tissue expander placed initially will allow you to have a larger implant later. It is important that you seek consultation with a board certified plastic surgeon who has extensive experience with tuberous breasts to achieve the best result.
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July 5, 2014
Answer: Tuberous breasts I prefer the implant under the muscle in most cases. Your left breast would require a lift to make it look right, so I would actually lift both breasts with the lollipop lift and put implants under the muscle.
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July 5, 2014
Answer: Tuberous breasts I prefer the implant under the muscle in most cases. Your left breast would require a lift to make it look right, so I would actually lift both breasts with the lollipop lift and put implants under the muscle.
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July 3, 2014
Answer: I have tuberous breasts. Would you place an implant over or under the muscle? Thank you for your question and pictures. Your picture demonstratesasymmetric breast ptosis along with constriction/tuberous anomaly. Tuberous breasts generally have a very narrow base and usually a long skin envelope. In the most severe cases of tuberous breast, a breast lift can be done through an incision around the areola, making the breast into a more rounded shape that the patient will be happy with. In many cases however, a lift is not necessary. You should be aware that the final result will take months to see and that you will need to be patient. The incision is usually confined to around the nipple/areola and may require a vertical/horizontal incision (in some cases) as well. The procedure involves making internal incisions to release the tight breast tissues, making a larger space for an implant, rounding out the lower breast crease, and correcting enlarged and protruding areola. The space between the breasts ( cleavage area) can be decreased with the use of implants as well. I usually place the breast implants in the sub muscular (dual plane) position. I also prefer the use of silicone gel breast implants for most patients who present with constricted/tuberous breasts. Make sure that your surgeon has significant experience with this specific procedure. I hope this, and the attached link (dedicated to tuberous/constricted breast concerns) helps.
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July 3, 2014
Answer: I have tuberous breasts. Would you place an implant over or under the muscle? Thank you for your question and pictures. Your picture demonstratesasymmetric breast ptosis along with constriction/tuberous anomaly. Tuberous breasts generally have a very narrow base and usually a long skin envelope. In the most severe cases of tuberous breast, a breast lift can be done through an incision around the areola, making the breast into a more rounded shape that the patient will be happy with. In many cases however, a lift is not necessary. You should be aware that the final result will take months to see and that you will need to be patient. The incision is usually confined to around the nipple/areola and may require a vertical/horizontal incision (in some cases) as well. The procedure involves making internal incisions to release the tight breast tissues, making a larger space for an implant, rounding out the lower breast crease, and correcting enlarged and protruding areola. The space between the breasts ( cleavage area) can be decreased with the use of implants as well. I usually place the breast implants in the sub muscular (dual plane) position. I also prefer the use of silicone gel breast implants for most patients who present with constricted/tuberous breasts. Make sure that your surgeon has significant experience with this specific procedure. I hope this, and the attached link (dedicated to tuberous/constricted breast concerns) helps.
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July 2, 2014
Answer: I have tuberous breasts. Would you place an implant over or under the muscle? Either is acceptable, and a good result can be generated with either approach. I usually place the implants under the muscle.Kenneth Hughes, MDLos Angeles, CA
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July 2, 2014
Answer: I have tuberous breasts. Would you place an implant over or under the muscle? Either is acceptable, and a good result can be generated with either approach. I usually place the implants under the muscle.Kenneth Hughes, MDLos Angeles, CA
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