Do I have tuberous breasts? If so, is just a lift possible or would implant and lift be ideal? (Photo)

Question

Are my breast tuberous? If so now what? I'm 21years old and 190lbs I would be loosing 40+lbs before any procedure. Even when I was younger and much smaller they looked the same just smaller. I'm ok with loosing size I just want the perkiness I've never had.

James H. Rogers, MD · Answer

Your pictures indicate that you do have a tuberous breast deformity. You also have a volume asymmetry,with the right breast being larger and droopier than the right. This can be corrected by doing a breast lift or small reduction, however if you are going to loose a great deal of weight,i would defer surgery until your weight has stabilized.

Daniel Barrett, MD · Answer

Hi Michele0104,

Based on your pictures, it appears that you do not have tuberous breasts.

Determining whether you need simply a breast implant versus a breast lift or both can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. 
  
Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just breast augmentation depending on the size of the implant the patient wants. I often use an implant when I perform a breast lift because it provides more upper breast fullness after the lift. 
  
Also, breast implant selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion.

You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.

Daniel Barrett, MD, MHA, MS
  
Certified, American Board of Plastic Surgery 
  
Member, Am. Society of Plastic Surgery

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  You appear to have breast ptosis, or sagging.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, the best shape and contour could be
achieved with an implant and a breast lift. Your nipple sits below the
inframammary fold and without a lift in addition to the implant, this will not
have a natural shape.  A breast lift with an implant can result in a very
nice shape if good technique is used.  The size, profile, and shape of
the implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Jan Hochtritt, BSc, MD · Answer

Thank you for this very interesting question. Looking at your pictures you do have a tuberose breast deformity that means   In your case, that the lower two quadrants  do not have sufficient volume. The treatment for this in your case can be either a breast lift or a breast lift over implants. That really only depends on if you want bigger breast or not.  doing implants in tuberose breast can be tricky so please be careful in your choice of doctor. In any case it should be a plastic surgeon who has experience in breast surgery. Have a wonderful rest of the day and greetings from the beautiful island of Jamaica.

Gary M. Horndeski, MD · Answer

Thank you for your question and helpful photos. Tuberous breasts or not - what you need is to have your breasts re shaped and re positioned higher on your chest wall. The Bellesoma Method is a current technique that eliminates the need for a vertical scar and that of an implant to achieve upper pole fullness. TBM uses an internal suspension system (internal bra) that allows for maximum lift with long term results. At 21 years of age, you need a breast lift that will not interfere with nipple sensitivity or the ability to breast feed. TBM doesn't undercut the nipple and preserves lactiferous ducts unlike the vertical breast lift techniques. Once you reach your ideal weight and you are stable, consider the no vertical scar and no breast implant breast lift. I hope this helps.Best wishes and kind regards,

Anthony P. Terrasse, MD · Answer

Hello, thank you for your question and photos. Based on the photos I would not say you have tuberous breasts. I would say however that you would benefit from a lift as well as implants. While the lift alone will remove excess skin that is causing your breasts to sag and restore the nipples to a more central position in the breasts, it will not be able to add significant volume or perkiness. This can be achieved by use of a small implant. . Even though this is adding an implant, it does not necessarily give the impression of larger breasts overall if you do not wish it due to the size and placement of the implant. I also think it is a good idea to be in the best physical shape and reasonable weight before the operation as this will help your results last much longer and look great for as long as possible. It is important to be at a sustainable weight going into surgery to avoid gaining it back after. When you feel you are in appropriate shape and medical condition to consider surgery, you may move forward and schedule an in person consultation with a board certified plastic surgeon to discuss your options. Good luck!

Jean Paul Giudicelli Saba, MD · Answer

Hi, thanks for sharing your concern and photos with us!
First I want to congratulate you for making this important decision. Deciding to get an aesthetic procedure to change your body and get a new life style is a big step!
  
Looking at your photos I might say that you´ll be a great candidate to get a breast lift without implants because you have enough tissue to reshape and lift it. Before all this, of course, you need to get a complete medical evaluation and laboratory exams to check everything is fine. For us your safety, always, is going to be first.
  
Have a great day! 
  
Dr. JPG

Steven Wallach, MD · Answer

Your breasts do not look tuberous.  You could benefit from a lift. Best to be evaluated in person......

Kris M. Reddy, MD, FACS · Answer

Depending on your objectives, you may wish to consider breast lift with implants especially considering the planned weight loss. Consult in person with an experienced and expert board certified plastic surgeon to understand your options.

Darryl J. Blinski, MD · Answer

Based upon the posted photos I recommend a two staged approach. 1st operation a full lot. Than after 3 to 6 months healing implantation of silicone implants in the 350 to 450 cc ranges.

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