Tuberous Breasts: How Much Does It Cost to Release the Constricted Tissue And/or Reduce the Size of my Areolas?

Question

I don't want implants, my breasts are small and perky enough. I just want a rounder look. When my nipples are erect i think they look normal, I guess since there is less "herniation of breast tissue into the areola" I'm 18 years old and would like to know my options and what numbers I'm looking at.

Lewis Albert Andres, MD · Answer

Hello!  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.  Cost will certainly vary amongst surgeons as well as geographic location.  Cost factors to consider will be surgeon fee, implant cost, facility fee, and anesthesia fee.  Since this deformity is more complex than a standard augmentation mastopexy, expect a higher cost - $8-12k would be reasonable.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!

Gregory A. Buford, MD, FACS · Answer

Tuberous breasts are most often addresed by releasing constriction of the lower pole and by placing an implant (saline/gel) to now help stretch this lower pole.  That being said, you could probably get away with glandular scoring of the lower pole along with areaolar reduction/repositioning without an implant and get very similiar results.

	As for the cost, it really depends.  My suggestion is to not use price as a determining factor.  You will always find someone cheaper than the last person but that doesn't mean that they are as qualified to perform your surgery.  Look for a Board Certified Plastic Surgeon with experience in not only breast enhancement but also secondary revision since this type of case tends to be more challenging than a straightforward augmentation.

	I hope that helps!

Otto Joseph Placik, MD · Answer

Release can be achieved with a circumareolar approach and radial relaxing incisions in a subglandular plane with reduction of the areola. Another alternative is fat grafting as practiced by Dr. Coleman in Manhattan. Fees will range tremendously from approximately $4500 to $20,000.

George Marosan, MD · Answer

Tuberous breasts are not uncommon and most of the time are corrected by releasing the constriction, augmentation and/or lift and addressing the asymmetry which is almost always present. If you want to avoid implants, fat grafting ids the best option. This is a scarless, incisionless reshaping and enhancement of the breasts and it costs the same or less than if you would have an augmentation and/or lift to correct the asymmetry. You can read about this on my web site breastsurgeryseattle. Good luck.

Aaron Stone, MD · Answer

Tuberous breasts is not a single diagnosis but rather a range or spectrum of breasts that have certain features in common. The surgery required is dependent on the severity of the tuberous appearance. The cost is dependent on specifically what is done at surgery, the location of where the surgery is performed and the surgeon who is performing the surgery. Without even a photo it is hard to give you a price ranged for surgery. I hope price is not your first priority. You first priority should be safety, followed by results and then cost. If cost is your first priority you could end up with permanent uncorrectable problems.

Steven Wallach, MD · Answer

Without an exam it is hard to say what can be offered to you to provide the best outcome. In most cases some sort of implant is usually required along with releasing the tight breast tissue and possibly treating the areola as well.

Nina S. Naidu, MD, FACS · Answer

Hi, this is very difficult to estimate without an examination to determine how much work would need to be done. If you include the surgeon's fees, anesthesia, and operating room costs, you should set aside about $8000-10,000 for the surgery. Keep in mind that without implants, it can sometimes be difficult to achieve an adequate shape and size to the breast. Good luck, /nsn.

William B. Rosenblatt, MD · Answer

You have some rough figures, but to know for sure you would have to be examined to see the extent of your problem.

Steven Schuster, MD, FACS · Answer

Tuberous breast come in a wide range of deformities from minor to severe, with or without drooping and with or without asymmetry.  While a combination of internal tissue release with implants will give the best correction, at the very least you would need the tissue release internally to correct the herniated breast tissue.  You could do some augmentation with fat, but this is still quite variable and very expensive.  The implants are placed to put pressure on the area released internally to keep it from healing back to its original state.

	Discuss this with your plastic surgeon and then you can decide how to proceed.  Good luck, Dr. Schuster from Boca Raton

Darryl J. Blinski, MD · Answer

Very difficult to answer without a posted photo. But my guess fee is $6,500. From MIAMI DR. Darryl J. Blinski

Tuberous Breasts: How Much Does It Cost to Release the Constricted Tissue And/or Reduce the Size of my Areolas?

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