Can You Correct Tuberous Breast Without Implants? (photo)

Question

I am concerned about cancer. It apparently runs in my dad's side of the family. I like life and I heard a lot of pros and cons stories of women going under the knife. My breasts are really snoopy. I only think they are normal when a room is cold and my nipples and areola shrivel and harden. My left breast has a large hanging areola. Right breast is kind of normal. but also has large hanging areola. Not as much as the left one though... IS THERE ANY way to fix this? Maybe an areola reduction?

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.

Jed H. Horowitz, MD, FACS · Answer

#TuberousBreast correction without #breast implantsBecause there is a wide range of conditions (appearances)
from mild to severe, the surgical treatment for #TuberousBreastDeformity  or #TBD .will vary but can include: implant
alone,  the use of tissue expansion ,
correction of the breast base and breast fold, and the correction of the
areola.  The use of fat grafting or
natural breast enhancement can help shape the breast with or without implants

Michael Constantin Gartner, DO · Answer

Absolutely. It's up to you whether you want larger breasts, too. You can just fix the tuberosity for a rounder breast shape.

Jerome Edelstein, MD · Answer

It appears that you have tuberous breasts. A common treatment technique involves releasing constricted breast tissue underneath the protruding nipples to give your breasts a fuller, less "snoopy" shape. No breast implants are needed but you may not be happy with their size after surgery.

Lewis Albert Andres, MD · Answer

Thank you for your question!  Given your photos, it does appear that you have a mild tuberous breast/constricted breast deformity.  The standard procedure would be placement of an implant (or tissue expander, depending on the lower pole of your breast) as well as a circumareolar breast lift.  These modalities would correct the issues with tuberous breast: constricted breast at the inferior pole, via breast prosthetic; scoring of the tissue to release the bands; lowering the inframammary fold; correcting the herniation of breast tissue into the areolae; and decreasing the overall size of the areolae.  These are the hallmarks of tuberous breasts.  You could likely get great results with an implant and possible breast lift.  It is possible to simply perform a breast lift, however, looking at your photos, I do think that either fat grafting or an implant would make a significant difference to your breast shape/appearance and give you a much better result.  Consult with a plastic surgeon well-versed in breast surgery and discuss your goals and expectations.  S/he will then be able to examine and discuss the various options and assist you in deciding which decision os the right one for you, given your desires.  I would expect a very pleasing result for you!  Hope that this helps!  Best wishes for a wonderful result!

J. Jason Wendel, MD, FACS · Answer

Thank you for your question and the photos.

	Yes, a breast lift around the nipple will help a good bit.

	For complete correction, the addition of a breast implant would fill out your breast base and give you fuller volume.

	See two or more board-certified plastic surgeons if you are seriously considering surgery.

	Best of Luck.

Ronald Levine, MD · Answer

You do not need implants to fix tubular breast deformity. The procedure to correct your condition involves releasing the constricted tissue around the areolae, a lift and areola reduction. Because there is tissue removed during the procedure, many women choose to have implants placed to compensate. However, this is not necessary.

Michael M. Omidi, MD, FACS · Answer

Thank you for the question and photos.  Yes, careful breast augmentation can be able to fix tuberous breasts and at the same time reduce and position your areola towards the center of your chest to correct the tuberous look.  It would be best to visit your
board-certified plastic surgeon and get a full assessment.  Best of luck. Dr. Michael Omidi.

An
in-person exam with a board-certified plastic surgeon is the best way to assess
your needs and provide true medical advice.

Erez Sternberg, MD · Answer

The short answer is yes. I agree with the other surgeons who have commented on your question. The best method for addressing your concern is by injected your own fat to widen the breast footprint and lower pole of the breast. In conjunction with an areolar reduction, you would get a very nice result without an implant. However you must understand that final breast volume would be less than that achievable by using implants. Good luck with your decision.

C. Andrew Salzberg, MD · Answer

the latest techniques for correction of small and asymmetric breasts including breast deformity with tuberous issues is to use fat grafting techniques. This technique which is now widely utilized by many surgeons in both the United States and in Europe creates a wider base for the breast and increase his volume in the areas which require correction of this deformity. This is the ideal method for correction without an implant or he can be utilized with an implant in addition.

Can You Correct Tuberous Breast Without Implants? (photo)

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