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: 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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April 3, 2016
Answer: Breast Augmentation/ Breast Implants/ Anatomic Gummy Bear Implants/Silicone Implants/Revision Breast Surgery I appreciate your question.From your photos, you appear to have constricted breasts on the spectrum of tuberous. Your lower pole needs to be released and the IMF lowered. I recommend shaped implants for this. These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak. During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.In my office we also use the VECTRA system. It takes photos of you from different angles to create a 3D image. It leaves you with a 3D image of your breasts you can see from angles you have never seen before. I have found it incredibly useful for my patients when discussing breast augmentation. What I love about the VECTRA is how it helps my patients. It helps YOU see your breasts. Really see your breasts. Photos can be unforgiving, and a 3D photo really shows it like it is.VOLUME: Is one breast larger than the other? This has 2 different ways of looking at volume, which takes into account ribcage and position differences.WIDTH: Is one breast wider? Is your chest ribcage asymmetric?CLEAVAGE: What is the natural spacing between your breasts? Cleavage is an area many of my patient really want to improve and fill when they do an implant. For sure implants help this area, but there are natural differences in the cleavage spacing which we can’t control. Vectra does an analysis of this to show where your natural breast ends.IMF: Our fancy doctor term for the bottom of the breast fold is the inframammary fold. The IMF is where your underwire would go, i.e. where your breast starts from. Turns out our breasts don’t usually start at the exact same place. This difference in position can make the breasts look different and affect nipple position.NIPPLE POSITION: This one tends to be more noticeable. Where are your nipples? Are they even? The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.Best of luck! Dr. Schwartz Board Certified Plastic Surgeon Director-Beverly Hills Breast and Body Institute #RealSelf100Surgeon
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April 3, 2016
Answer: Breast Augmentation/ Breast Implants/ Anatomic Gummy Bear Implants/Silicone Implants/Revision Breast Surgery I appreciate your question.From your photos, you appear to have constricted breasts on the spectrum of tuberous. Your lower pole needs to be released and the IMF lowered. I recommend shaped implants for this. These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak. During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.In my office we also use the VECTRA system. It takes photos of you from different angles to create a 3D image. It leaves you with a 3D image of your breasts you can see from angles you have never seen before. I have found it incredibly useful for my patients when discussing breast augmentation. What I love about the VECTRA is how it helps my patients. It helps YOU see your breasts. Really see your breasts. Photos can be unforgiving, and a 3D photo really shows it like it is.VOLUME: Is one breast larger than the other? This has 2 different ways of looking at volume, which takes into account ribcage and position differences.WIDTH: Is one breast wider? Is your chest ribcage asymmetric?CLEAVAGE: What is the natural spacing between your breasts? Cleavage is an area many of my patient really want to improve and fill when they do an implant. For sure implants help this area, but there are natural differences in the cleavage spacing which we can’t control. Vectra does an analysis of this to show where your natural breast ends.IMF: Our fancy doctor term for the bottom of the breast fold is the inframammary fold. The IMF is where your underwire would go, i.e. where your breast starts from. Turns out our breasts don’t usually start at the exact same place. This difference in position can make the breasts look different and affect nipple position.NIPPLE POSITION: This one tends to be more noticeable. Where are your nipples? Are they even? The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.Best of luck! Dr. Schwartz Board Certified Plastic Surgeon Director-Beverly Hills Breast and Body Institute #RealSelf100Surgeon
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