Would these shaped breasts ever be possible for someone with tuberous breasts? (photos)

Question

I have a consultation for BA in a month. I am hoping for special tuberous breast surgery and implants. One photo is of my breasts now and the other of my ‘wish’ breasts - would this result ever be possible?

Donald R. Revis Jr, MD · Answer

Good morning!
You are an excellent candidate for a donut mastopexy to lift your nipple position and tighten your skin- no vertical scars yay! For your augmentation you may choose saline or silicone gel, depending on your preference, and we would determine the exact size and profile when I measure your chest, we review photos together, and you have an opportunity to try on the implant sizers here in the office.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Unfortunately, surgeons have created the term tuberous breasts, a fact which causes unnecessary concerns for women. Many women just have different sizes and shapes and in my opinion shouldn't be labeled. I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Ruth109,
tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

I think you will need a lift to get the best shape and result. The lollipop lift is what I would recommend along with an implant.

Connie Hiers, MD, FACS · Answer

Just based on your one photo, your breasts' bases are not tubular, but normal width, so you may get results close to your photos. You will need a lift as well, but just around the areolae.

Vicente Ramirez, MD · Answer

Yes, it's possible to get a more rounded shape than now with round implants, but it's necessary to release the internal bands un your breasts.

Aleksandr Shteynberg, MD · Answer

Hello, Ruth 109. You may have a degree of tuberous breasts. To achieve optimal results it may be necessary to make internal breast tissue incisions probably more on the lower portion of the breast. This usually allows appropriate stretching of the breast tissue and skin to get the shape you desire. If areolas are stretching and allowing breast tissue to protrude (one of the signs of the tuberous breast) they may need to be fixed to limit stretching. 
Best. 
A. Shteynberg, M.D., F.A.C.S.Diplomate, American Board of Plastic SurgeryNew York, NY

Would these shaped breasts ever be possible for someone with tuberous breasts? (photos)

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