Hello, I have had a couple consults to fix my tuberous breasts. I am very aware my deformity requires implants and I am ready to do so. One doctor said I needed implants, pocket revision and a peri-areolar lift and another doctor said he thinks implants plus the pocket revision is all I need because of how mild my tuberous breasts,my nipples not being lopsided or overly large/puffy. What would most suggest? I want to ensure my nipples won't look crazy after.
February 8, 2024
Answer: Implants retro-pectoral The size of your areolas are slightly large compared to the size of your breasts. You can do a circumareola incision to decrease the size and projection of your areolas. It may be possible to use an inframammary incision and place submuscular implants.
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February 8, 2024
Answer: Implants retro-pectoral The size of your areolas are slightly large compared to the size of your breasts. You can do a circumareola incision to decrease the size and projection of your areolas. It may be possible to use an inframammary incision and place submuscular implants.
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February 7, 2024
Answer: Tuberous Breast Your breasts are significantly constricted as evidenced by both severe glandular herniation into the nipple-areolar complex and a very short nipple to fold distance. You can't have a 'pocket revision' without already having had implants, so I don't know what they mean by that (unless they are already talking about a common complication with tuberous breasts, implant drop out). The 'gold standard' of periareolar incision, scoring breast tissue, and a circumareolar reduction leads to a greater than 50% complication and revision rate. Although you could go straight to an implant, the size of which is crucial to minimize a lot of post operative complications, I highly recommend at least one round of fat grafting to increase the base diameter of your breasts, making them more amenable to a breast implant. If you choose implants as a first surgery, it should look like this: appropriate sized devices placed through a properly placed inframammary incision and into a subpectoral pocket. No areolar reduction in a first surgery or breast scoring ever. Once skin tension has relaxed upto a few years, areolar reduction can be performed with less risk of re-expansion and thickened scar formation.
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February 7, 2024
Answer: Tuberous Breast Your breasts are significantly constricted as evidenced by both severe glandular herniation into the nipple-areolar complex and a very short nipple to fold distance. You can't have a 'pocket revision' without already having had implants, so I don't know what they mean by that (unless they are already talking about a common complication with tuberous breasts, implant drop out). The 'gold standard' of periareolar incision, scoring breast tissue, and a circumareolar reduction leads to a greater than 50% complication and revision rate. Although you could go straight to an implant, the size of which is crucial to minimize a lot of post operative complications, I highly recommend at least one round of fat grafting to increase the base diameter of your breasts, making them more amenable to a breast implant. If you choose implants as a first surgery, it should look like this: appropriate sized devices placed through a properly placed inframammary incision and into a subpectoral pocket. No areolar reduction in a first surgery or breast scoring ever. Once skin tension has relaxed upto a few years, areolar reduction can be performed with less risk of re-expansion and thickened scar formation.
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