Severe Tubular Breast Augmentation, How Can I Best Prepare For Surgery?

The surgical correction of the tubular breast is challenging. It is important to see a board certified plastic surgeon who is experienced in this area and you should prepare yourself by having realistic expectations.  A significant problem in the tubular breast is the skin tightness across the lower portion of the breast. This then causes the breast tissue to push out or "herniate" through the areola. Correction involves reducing the fullness of tissue in the areola and expanding the tight skin across the lower pole of the breast. The biggest challenge is expanding the tight skin that did not fully relax and stretch, allowing the natural rounded appearance of the lower portion of the breast. Technically, your surgeon will attempt to release the tight tissues and place an implant. Even in the hands of a skilled plastic surgeon, your breast skin will resist the immediate expansion. This can limit the final result. The size of implant used is limited and recurrence of the breast tightness is a possibility. Revisions may be indicated in the future.

Your plastic surgeon may also discuss with you the option of a staged procedure, which may be a strong consideration. In cases of moderate to severe tubular breasts, a tissue expander is placed at the first operation. This allows for progressive expansion of the skin. Then the final implant is placed months later when adequate softening, expansion and shaping of the breast has occurred.

I hope all goes well for you and that you have a good experience and results that you are happy with.

Sincerely,

Behzad Parva, MD, FACS

You need in detailed evaluations, discussions on the stages of your surgery. In my opinion at least 3 stages will be needed.