A few doctors who replied said it doesn't look like I have tuberous breasts. I was wondering what the difference between tuberous breasts and regular saggy breasts are? And if I don't have tuberous breasts, why does the underside look constricted and doesn't have as much skin? Also, all the doctors said a mastopexy would be a good choice for me. I was wondering if there's any other way to get a lift without having scars(or very minimal scarring).Do I have enough breast tissue already to have the look I was going for or would I need a fat graft as well?
March 3, 2016
Answer: Tuberous Breast In my opinion a wise-pattern mastopexy with an implant for the size of the breast you want would be the best option. (you speak of the breast you want but not illustration is given, I find the breast one woman wants is different for what another may want.) First, a wise pattern lift is the only option that will increase the length of the shortened skin below the nipple region, typical of a tubular shaped breast. (Remember that "tubular shaped breast" is a breast shape with multiple features, short distance from nipple to bra line, longer interval from clavicle to the nipple, enlarged and rounded nipple areolar complex that is usually disproportionately larger that the size of the breast. No all feature need to be found one every single breast called a tubular shaped breast.)Scar will be necessary to decrease the size of the nipple areolar region and lengthen the distance between the nipple and the bra line. A lift that only consisted of a areolar reduction will not give you the length needed and result in a smaller nipple areolar region that is close to your bra line. I not sure of any value of fat grafting. Fat grafting only fill in areas of deficits. You can't use fat grafting to successfully fill out the lower aspect of the breast and stretch the skin to the length you needs. Just isn't going to happen. Having scar to get a better shaped breast is the only option.
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March 3, 2016
Answer: Tuberous Breast In my opinion a wise-pattern mastopexy with an implant for the size of the breast you want would be the best option. (you speak of the breast you want but not illustration is given, I find the breast one woman wants is different for what another may want.) First, a wise pattern lift is the only option that will increase the length of the shortened skin below the nipple region, typical of a tubular shaped breast. (Remember that "tubular shaped breast" is a breast shape with multiple features, short distance from nipple to bra line, longer interval from clavicle to the nipple, enlarged and rounded nipple areolar complex that is usually disproportionately larger that the size of the breast. No all feature need to be found one every single breast called a tubular shaped breast.)Scar will be necessary to decrease the size of the nipple areolar region and lengthen the distance between the nipple and the bra line. A lift that only consisted of a areolar reduction will not give you the length needed and result in a smaller nipple areolar region that is close to your bra line. I not sure of any value of fat grafting. Fat grafting only fill in areas of deficits. You can't use fat grafting to successfully fill out the lower aspect of the breast and stretch the skin to the length you needs. Just isn't going to happen. Having scar to get a better shaped breast is the only option.
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January 11, 2016
Answer: Follow-up to previous question: What's the difference between tuberous breasts and regular, saggy breasts? In my opinion, your breasts are ptotic but not tuberous. I would recommend a breast lift with or without placement of an implant using an anchor scar pattern. I believe this technique gives an aesthetically pleasing, reliable and long lasting result. Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon
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January 11, 2016
Answer: Follow-up to previous question: What's the difference between tuberous breasts and regular, saggy breasts? In my opinion, your breasts are ptotic but not tuberous. I would recommend a breast lift with or without placement of an implant using an anchor scar pattern. I believe this technique gives an aesthetically pleasing, reliable and long lasting result. Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon
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