What is the Best Way to Do Implants on a Woman Who is "Tuberous" and Has Very Little Breast Tissue?

Doctor Answers 9

Best Way to Do Implants on a Woman Who is "Tuberous"

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This condition has so many variables that there is no "best way" that will work for all. A photo would help, but an in person consult is best.

If size increase is part of the goal, implants will usually be part of the fix. The other issues include malposition of the breast fold. large areola, lateral displacement of the breasts, tightness of the lower poles of the breasts, and these all would be addressed in individualized ways, and involve a customized breast lift, often with release of tight breast tissues. 

When you ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified,  but also is a member in good standing of the major plastic surgery organization in the U. S.

Thank you for your question, best wishes.

Seattle Plastic Surgeon

Breast Augmentation with Mini Ultimate Breast Lift Best

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The best technique for you is Breast Augmentation with Mini Ultimate Breast Lift.  Through a circumareola incision implants can be placed, the breast tissue can be reshaped to increase projection, create upper pole fullness and increase cleavage.  Unfortunately, you have not provided any photographs to give a more accurate explanation.

Best Wishes,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

The Tuberous Breast Deformity is a spectrum

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Hi there-

Some women have a minor deformity, while other women with tuberous breasts will  need significantly more intervention to achieve a pleasing outcome.

Moreover, surgeons will vary in their approaches and experience managing this problem.

My recommendation would be for you to find a few highly skilled and Board Certified Plastic Surgeons and visit for consultations. Be sure you choose your surgeon for the right reasons (hint- not because they are the cheapest), such as their education, training, experience, and skill/talent (look at lots of photos of their work- be sure it IS their work, and look at photos of many procedures, not just the ones representing the procedure you want).

Breast augmentation techniques for tuberous breasts

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Tuberous breasts are defined as breasts that develope with a constricted base and loose periareolar skin which result in a breast that is shaped like a root tuber, such as a sweet potato.  Depending on the severity the condition can be considered a normal variant of breast developement or a true deformity.  There are a variety of options for improving or correcting tuberous breasts.  In many cases the loose skin around the areola is removed in a donut shape and the base of the breast tissue is released in a star shape allowing. the breast tissue to unfurl around the underlying breast implant.  In some cases there may be an advantage to placing the implant directly beneath the breast gland to aide in causing the base of the breast to expand.  Discuss these options with your surgeon.  Best wishes.

Vincent D. Lepore, MD
San Jose Plastic Surgeon
4.7 out of 5 stars 63 reviews

Best Technique for Augmenting Tuberous Breast Deformity

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Thank you for your question. It is very difficult to give an accurate opinion without the aid of pictures and/or an in-person examination. What is defined as tuberous breast deformity is actually a spectrum of  a deformity of the breast. In this deformity one will usually see the following:

1. A constricting ring at the base of the breast.

2. Deficient vertical development. The bottom of the areola is close to the fold at the bottom of the breast.

3. Deficient horizontal development. The bottom of the breast is not well developed.

4. Herniation of the tissue in the involved breast towards the nipple-areolar complex.

5.Enlargement of the nipple-areolar complex because of #4.

Some or all of the findings listed can be found in one or both of the breasts. They may also be found in differing degrees.

As a surgeon what you will do for your patient will be dependent on to what extreme the deformity affects the breast(s).

I hope this helps. Best wishes.

So many choices....

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First of all there are so many ladies called tuberous by various docs that are not tuberous at all.  It seems that any not perfectly round breast these days is called tuberous by some docs.  Breasts come in all shapes and sizes and a surgeon should be able to explain to you what exactly is going on with your breasts and a plan to address it.  If he/she can't explain what is going on to your satisfaction, find a surgeon that can.  If you are in doubt of the plan, go on another consultation.  While consultations are an investment in your time (and sometimes cost money) they certainly are the best way for you to learn your options. This is an impossible question for surgeons on the internet on a site like this to answer given the vast numbers of sizes and shapes that breasts develop in.  Good luck!

Evan Sorokin, MD
Cherry Hill Plastic Surgeon
4.8 out of 5 stars 77 reviews

Tuberous breast treatment

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First, there are many degrees of tuberosity.  In general, an implant is often used and the lower pole of the breast is expanded.  Often the areol has to be reduced and a permanent sutures is placed around the border to "lock" the diameter of the areola down.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Tuberous (Tubular) Breast Augmentation

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Tuberous breast augmentation is done several different ways depending on where we are starting from. The amount of breast tissue, asymmetry, nipple location, amount of skin, the shape of the breast and the firmness of the breast tissue are a few of the more important variables.

It is important to find an experienced board certified plastic surgeon who is verse in several methods so that they may select the best option for you. A periareolar lift is often used in conjunction with breast augmentation to further improve the shape of the breast.

Joseph Mele, MD
Walnut Creek Plastic Surgeon
4.5 out of 5 stars 17 reviews

Tuberous breast surgery

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Photos and an exam are necessary to accurately answer your question.  There are many degrees of breast tuberosity.

Leonard T. Yu, MD
Maui Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.