I was told by a lactation consultant I have probable tubular breasts and insufficient glandular tissue. Despite pumping, fenugreek and other milk boosters I cannot produce a full supply for my baby. I've always felt self-conscious about my breasts but more so now than ever. Are my breasts tubular and could they be corrected to look more attractive? What methods would you recommend if so? Thank you!
Answer: Tuberous breasts I see this question often. The condition you're asking about is known as tuberous breast or tubular breast deformity. The best way for me to describe this is that it is not an "all or nothing " phenomenon. In other words, if not as if the patient either "has it" or "does not ". This is because "tuberous breast "is a spectrum of characteristics that often go together. They include:#1 large, puffy nipple/areolas. This is known as areolar or nipple herniation.#2 small breasts lacking much tissue#3 small base diameter or "footprint" of the breast, also known as "constriction". This makes the breast shape itself appeared too small for the chest it is on#4 a high-riding or absent breast fold, which is the defining crease at the base of your breast. The "classic tuberous breast deformity" involves all four deformities together to a significant degree. However, some women have only two or three of the characteristics. Other women have all four of the characteristics but to a very slight degree. So, it is less a "black-and-white " issue, rather many shades of gray. The surgical solution depends upon the specific constellation of symptoms that a given patient has.You seem to have some evidence of #3 and #4. But overall, I would not describe your breasts as tubular. A well executed augmentation with lowering of the inframammary fold and release of the lower breast tissues should give you a nice result.Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA
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Answer: Tuberous breasts I see this question often. The condition you're asking about is known as tuberous breast or tubular breast deformity. The best way for me to describe this is that it is not an "all or nothing " phenomenon. In other words, if not as if the patient either "has it" or "does not ". This is because "tuberous breast "is a spectrum of characteristics that often go together. They include:#1 large, puffy nipple/areolas. This is known as areolar or nipple herniation.#2 small breasts lacking much tissue#3 small base diameter or "footprint" of the breast, also known as "constriction". This makes the breast shape itself appeared too small for the chest it is on#4 a high-riding or absent breast fold, which is the defining crease at the base of your breast. The "classic tuberous breast deformity" involves all four deformities together to a significant degree. However, some women have only two or three of the characteristics. Other women have all four of the characteristics but to a very slight degree. So, it is less a "black-and-white " issue, rather many shades of gray. The surgical solution depends upon the specific constellation of symptoms that a given patient has.You seem to have some evidence of #3 and #4. But overall, I would not describe your breasts as tubular. A well executed augmentation with lowering of the inframammary fold and release of the lower breast tissues should give you a nice result.Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA
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Answer: Mild constriction Hello,Thank you for your question and photo. There are a few different characteristics for Tuberous breasts and you do not have all of them but you do appear to have some constriction, specifically in the lower poles. I recommend that you meet with a board certified Plastic Surgeon in person. They will examine you and talk with you about what you would like to change. You should be able to achieve a nice result with silicone cohesive gel implants.All the best
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Answer: Mild constriction Hello,Thank you for your question and photo. There are a few different characteristics for Tuberous breasts and you do not have all of them but you do appear to have some constriction, specifically in the lower poles. I recommend that you meet with a board certified Plastic Surgeon in person. They will examine you and talk with you about what you would like to change. You should be able to achieve a nice result with silicone cohesive gel implants.All the best
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April 4, 2016
Answer: Tubular breasts? Thank you for your question. I would recommend visiting a board certified plastic surgeon for a consultation. This way, you can explain your concerns and find an option that fits your desires. All the best.Regards,
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April 4, 2016
Answer: Tubular breasts? Thank you for your question. I would recommend visiting a board certified plastic surgeon for a consultation. This way, you can explain your concerns and find an option that fits your desires. All the best.Regards,
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April 3, 2016
Answer: Tuberous breast and treatment options: Information Dear Ms. Misslolliana,Thank you for your questions and photos.I understand your feelings.Unfortunately without a examination I can advise you in general terms, however I hope you will find them helpful.Tuberous breast is a clinical diagnosis that can present in a wide spectrum from minimal to significant.The typical characteristics include: 1)enlarged and puffy nipple areola complex (NAC)2)unusually wide spacing between the breasts3)minimal breast tissue4)sagging (ptosis)5)higher than normal breast fold6)a constricted narrow breast base on the chest wall7)asymmetry of the breasts There is a spectrum of presentation and the appearance of the breasts can include just a few to all of the above characteristics thus the treatment varies:1) breast augmentation with implants2) NAC reduction3) release of the constricted breast base4) in severe cases breast tissue expansion.5) a mastopexy (breast lift).6) combination of aboveI recommend that you make several consultative appointments with Plastic Surgeons who are experienced and Certified by the American Board of Plastic Surgery. In addition ideally they are members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).I wish you my best and success,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600
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April 3, 2016
Answer: Tuberous breast and treatment options: Information Dear Ms. Misslolliana,Thank you for your questions and photos.I understand your feelings.Unfortunately without a examination I can advise you in general terms, however I hope you will find them helpful.Tuberous breast is a clinical diagnosis that can present in a wide spectrum from minimal to significant.The typical characteristics include: 1)enlarged and puffy nipple areola complex (NAC)2)unusually wide spacing between the breasts3)minimal breast tissue4)sagging (ptosis)5)higher than normal breast fold6)a constricted narrow breast base on the chest wall7)asymmetry of the breasts There is a spectrum of presentation and the appearance of the breasts can include just a few to all of the above characteristics thus the treatment varies:1) breast augmentation with implants2) NAC reduction3) release of the constricted breast base4) in severe cases breast tissue expansion.5) a mastopexy (breast lift).6) combination of aboveI recommend that you make several consultative appointments with Plastic Surgeons who are experienced and Certified by the American Board of Plastic Surgery. In addition ideally they are members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).I wish you my best and success,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600
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April 3, 2016
Answer: Tubular breast correction, some advices: Thank you very much for sharing your concerns with us.After having analyzed all the information and photos provided to us, i can identify that you have a underveloped and mild tubular Breast. I recommend you perform a Tubular Breasts Correction with Breast Augmentation using silicon implants, at the same surgical time.There is a surgical technique for Tuberous Breasts correction, by which it is arranged the tuberous areolar ring from inside, without requiring areolar reduction. In this technique we also need silicon implants, to get a better Breast volume and projection.Therefore it is very important that the plastic surgeon who will perform the surgery, has the skills and vast experience in this type of procedure.Respectfully,Dr. Emmanuel Mallol Cotes.-
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April 3, 2016
Answer: Tubular breast correction, some advices: Thank you very much for sharing your concerns with us.After having analyzed all the information and photos provided to us, i can identify that you have a underveloped and mild tubular Breast. I recommend you perform a Tubular Breasts Correction with Breast Augmentation using silicon implants, at the same surgical time.There is a surgical technique for Tuberous Breasts correction, by which it is arranged the tuberous areolar ring from inside, without requiring areolar reduction. In this technique we also need silicon implants, to get a better Breast volume and projection.Therefore it is very important that the plastic surgeon who will perform the surgery, has the skills and vast experience in this type of procedure.Respectfully,Dr. Emmanuel Mallol Cotes.-
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