Tuberous Breast - What Profile is Best?

Question

my first b/a my doc told me to go with a high profile, saying it 'pushes' out the breast (meaning the projection im sure) helping fix the look of tuberous breast, is this true ? i am having a revision and dont know if i should have mod+ or high profile i would say i have a small frame 163 cm tall 56 kgs, help plz, i want my breast to look very full and also perky without wearing a bra going for a 560cc.

Jose M. Soler-Baillo, MD, MS · Answer

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.

Larry S. Nichter, MD, MS, FACS · Answer

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.

Otto Joseph Placik, MD · Answer

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.

Armando Soto, MD, FACS · Answer

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.

Brent Moelleken, MD · Answer

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.

Joseph Mele, MD · Answer

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.

Walter D. Gracia, MD · Answer

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.

Kenneth R. Francis, MD, FACS · Answer

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!

Darryl J. Blinski, MD · Answer

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.

Steven Wallach, MD · Answer

Tuberous breasts are narrow and most patients would probably be best to have a mod + or HP implant.

Tuberous Breast - What Profile is Best?

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