Is there a surgeon in the San Antonio area that specializes in tuberous breast for augmentation?

I do not think you will find someone who "specializes" in it as much as someone who is skilled at it.  I find that a circumareolar tightening is an important part of the procedure to reduce the herniated breast tissue.  If a PS has a large breast aug component to his ir her practice, he or she ought to be able to help.Good Luck!

Thank you for your question. Finding the proper surgeon is critical to the success of your tuberous breast surgery. You need to find a surgeon certified by the American Board of Plastic Surgery who specializes in cosmetic and reconstructive breast procedures. The ASPS website will provide a list of properly trained surgeons in your area. You should go on several consultations and see which surgeon you like best. Ask to see a lot of before and after pictures of their work. Hope this helps.

Some doctors specialize in breast implants and breast augmentation. Tuberous breasts is too narrow of a scope to find a super specialist. You can view the website for the American Society of Plastic Surgeons for a listing of board certified plastic surgeons in your area. \Best wishes, Dr. ALDO

You're correct in that tuberous breasts are different in the way they are treated vs. non-tuberous breasts. You're also correct in wanting to work with someone who has experience in these cases, although I am not aware of anyone that specializes exclusively in tuberous breasts. In my experience, attention to the fibrous component is critical as well as the shaping of the nipple areolar complex.  Good luck and please let us know if you have any further questions.

Thank you for the important question; careful selection of plastic surgeon will be the most important decision you make.
 Although I cannot provide you with specific names, I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. 
***Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done. Basically, patients should look at the overall "quality" of the outcomes achieved;  in other words, it will be important that patients see lots of examples of outcomes that they would be pleased with.  In doing so patients will be able to get an idea of each  plastic surgeon's "aesthetic sensibilities". 
 Generally speaking, some of the characteristics seen with tuberous breasts include a very narrow base, short distance from areola to inframammary fold, tight (constricted) lower pole of the breasts, relatively wide space between the breasts, "puffy” areola and some degree of ptosis (drooping). 
Generally, correction of tuberous breast anomalies involves breast augmentation with areola reduction / mastopexy procedure. The distance from the inframammary fold is increased (to create a more rounded out appearance). Proper implant positioning improves the distance (cleavage) between the breasts. The areola reduction helps to treat the pointed and "puffy" appearance of the areola.
I hope this, and the attached link (dedicated to corrective surgery for patients with tuberous/constricted breasts) helps. Best wishes.
 
 

Breast augmentation for the tuberous breast is more difficult and there can be a variety of differences between the two sides.  We would be happy to try and help.  I have attached a video about one of my patients who had a significant deformity.

Excellent question. You're right in that the augmentation process for tuberous breasts is different than an ordinary breast augmentation. Even among Board Certified Plastic Surgeons who do a good number of breast augmentations it can vary greatly the number of tubular breast cases that they encounter. While I do not know of anyone in San Antonio who specializes exclusively in tubular breast augmentations, it is reasonable to contact plastic surgeons who have a specialty in breast augmentation as they are apt to have seen tubular patients. If they routinely treat them, they should be aware of the attention needed to the fibrous tissue and areolar tightening that needs to be addressed. They should be able to demonstrate their experience and skill through their own personal before-after photos of patients they've performed the procedures on.  There are surgeons who have this level of expertise and I wish you luck in connecting with them.

Hello and thank you for your excellent question. Tuberous breast deformity can be a difficult breast deformity to correct. I agree with your plan to seek consultation with a surgeon that is comfortable with treating patients with similar problems. The size, profile, shape, texture, and type of implant (e.g., saline, silicone gel, “gummy bear”) is based on your desired versus existing breast size and shape, your chest wall measurements, and soft tissue quality. Preoperative visualization and surgical simulation with the Crisalix system may help with your decision. Any treatment plan should be based on a detailed discussion with equal input from both you and your surgeon.    Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation in person with a qualified board-certified plastic surgeon. Good luck! 

Best,
Jon Ver Halen, MD FACS 
Harvard educated plastic surgeon