Tuberous Breast - What Profile is Best?

For any type tubular or constricted breasts I do not recommend high profile implants. The reason is simple physics. a tubular or constricted breast is narrow to begin with. High profile implants have a narrower base than a moderate implant of the same volume. This means that the high profile implant will stretch out a smaller amount of skin to a greater degree. While the principle makes sense. the actual results tend to vary. The small amount of breast skin available will not tolerate so much stretching in one shot, often resulting in severe stretch marks. Specially when high volumes are involved. A gradual augmentation with an adjustable implant might decrease the rink of stretch marks

Ideally to improve a tubular breast, the more skin you can recruit safely, the better, so my advice is to go with moderate gels.

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation.  Always insist on a board certified plastic surgeon.

In my opinion, I believe I get a superior result with the high profile silione gel filled implants and the moderate plus saline implants filled to near capacity.

Hi there-

Assuming that the goal is to achieve the most beautiful breast shape possible, whether your breasts are tuberous or not has little to do with the choice of implant- which should be chosen based on other body and chest wall/breast parameters.

The best advice I could give you is to choose a surgeon carefully and communicate your goals to them- then trust them to advise you on the details of the technique that is most likely to achieve those goals for you.

Usually patients with a tuberous breast condition require a moderate plus or high profile implant and a modified lift of some type.

However far far more important thatn what type of implant to place is which surgeon to choose.

A 560 cc implant would be massive given the usual tuberous breast, but we cannot judge much without seeing a photograph.

I use the same criteria for selecting breast implant profiles for tuberous breast as an breast. I want to match the breast implant's base diameter to the chest, and use the profile to adjust the volume. Since tuberous breasts tend to be smaller, and have smaller base diameter, I am more often using high profile implants in order to achieve my patients' goals.

The higher profile can also help "round out" the breasts' shape, but this is a generality. It is common for marked asymmetry to occur with tuberous breast, so sometimes each breast needs it's own size and shape.

The combination of implants greater than 350 cc's and never wearing a bra is a precarious one. Gravity is a weak force, but persistent.

Some surgeons my follow that reasoning. My preference for the high profile is in patients with narrower breast base widths of 10cm or less since these implants have narrower base widths. For the more common 11 to 13 cm breast base widths I prefer other types of implants. The reasoning for this is that you get the most natural look if the implant base width is slightly less than the actual breast base width. That way breast tissue covers the edges of the implant. None of this applies to the patient with AA bra sized breasts.

Tuberous breast are a difficult problem for any surgeon and each one is different.Without photo's it is not possible to say much about your situation.

You need to go to the Australian equivalent of a Board Certified Plastic Surgeon.

Jenno,

Did the first breast augmentation correct your "tuberous" breast deformity?  If so, then why not stick to the high profile implants that you already have.  It sounds as if you are just looking to go larger.  We also have no idea of what your breasts look like right now, whether your implants are under or over the muscle or what size they are.  All of this information would be required to form any opinion as to what you should use for the revision.  See your plastic surgeon for a full discussion of the variables that play into the decision.  Good luck!

Impossible to give accurate guidance WITHOUT a PHOTO! My guess is you need release of the "tuberous banding" with revision of the capsule. You might want a Alloderm graft to help or Adistem Fat grafting to tuberous areas. Best of luck.