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

Tubuerous breasts need more than breast implants to improve their contour.Tuberous breast deformity involves a constricting ring that grows around the breast base. This ring stops the horizontal and/or vertical expansion of the breast, leading to constricted appearance with large areolas and irregular nipples. Surgery is necessary to release constricted tissue, and implants may be placed to enhance volume. 

The best things you can do before surgery are:


see more than one surgeon because your case is not one of the more common ones and choose your surgeon carefully

make lists of questions to ask at the time of consultation

make a check list to compare surgeons and good over it carefully before picking one

follow your surgeons instructions before and after surgery in order to get the optimal result

make sure the surgeon can set a realistic view of the end result


You can look at the referenced webpage to help you choose a surgeon.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

There really is nothinhg for you to do prior to surgery for your tuberous breasts to assist surgery. You should avoid blood thinners.

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.