Fix Tubular Breasts Without Implants?

Question

I have tubular breasts and i want to get them fixed. is there any possibility to fix this without a implant.

Richard J. Bruneteau, MD · Answer

Tubular breasts come
in all shapes and significant variations in breast contour occur in women with
this condition.

Tubular breasts
occur because of constriction of the skin at the base of the breast. This often
results in herniation of the breast tissue through the areola which creates a
unique breast shape. A variety of approaches may be used to correct this
problem. Treatment should be individualized, based on the specifics of the
anatomic deformity and aesthetic goals of the patient.

When patients have
mild tubular breast deformities, correction can often occur without an implant.
Severe cases of this condition usually require treatment with an implant
because of the magnitude of the deformity.

If you’re concerned
about the tubular breast deformity, it’s important to consult a board certified
plastic surgeon. This surgeon will develop a treatment plan that not only
considers your unique anatomy, but your aesthetic goals as well.

Joshua D. Zuckerman, MD, FACS · Answer

Thank you for your question. It is difficult to tell without a photo, but generally no, it is not possible to fix tuberous breasts without implants.The signs of tuberous breasts are: constricted breast base, high-riding inframammary fold, and herniation of the breast grandular tissue into the areolar ring. If you do indeed have tuberous breasts and you desire somewhat larger, fuller breasts, you would need to undergo a modified breast augmentation procedure. In addition to placing a breast implant, a plastic surgeon would need to perform radial scoring of the breast grandular tissue from the inside and to lower the inframammary fold.

Jed H. Horowitz, MD, FACS · Answer

Tubular breastsThis breast condition is a developmental problem of the
breast. It may be characterized by a variety of appearances generally seen at
the time of puberty.  There may be breast
underdevelopment of the breast with little or no breast tissue.   There
may be deficiency of breast skin.  The
breast may appear narrow, tubular, long, conical or droopy.  These contours have resulted in the use of
unattractive names such as #TubularBreasts, or #SnoopyBreasts.

Frequently, the areola (nipple) is often herniated
forward creating a #PuffyNipple,

Gary Lawton, MD, FACS · Answer

Breast implants will give you the best look for this condition, most likely, with the least scarring.  Your situation needs to be evaluated by a plastic surgeon with plenty of experience in this area!

Jerome Edelstein, MD · Answer

Yes, it is possible to fix tubular breasts without getting implants. The constricted tissue will be released and your areolae reduced if necessary. However, please note that the size of your breasts will remain the same or be smaller.

Lewis Albert Andres, MD · Answer

Thank you for your question!   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 fat grafting or an implant and likely breast lift.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!

Sam Speron, MD, FACS · Answer

Hi Izabella,
Thank you for your question.
Yes, this can be corrected without implants with a breast lift or mastopexy type surgery. However, it is important to be realistic about the results that can be achieved with these procedures. It is also important to know what you want to look like so you can be realistic about this as well. 
Usually, though breast implants are a better option for most patients,by no means do you have to get them. You should schedule a consultation with a board certified plastic surgeon, preferrably one who specializes in tubular breasts and he/she should be able to exam you and give you the best advice.

Otto Joseph Placik, MD · Answer

Yes this is possible and would be more akin to a breast lift or mastpexy tyype procedure.
You should schedule a consultation with a board certified plastic surgeon to discuss your options which include the use of autogenous tissues to enhance or augment the breast without an implant.

John J. Edney, MD · Answer

There are several features involved in the description of a tuberous breast.  The base of the breast is usually abnormally narrow.  The inframammary fold is usually higher which results in a shortened distance between the nipple and the fold.  This results in a constricted or tightened lower pole of the breast.  The lower pole is the lower half of the breast.  This constriction or tightened breast envelope causes the breast to push forward into the areola as it develops.  The areolar skin is more elastic than the surrounding breast skin.  Consequently as the breast develops and pushes forward into the areola the appearance of a "puffy" nipple areolar complex develops.  This is often described as a "pseudo-herniation" of the breast tissue into the areola.  The surgical correction of this problem will depend on how many of these components are present.  Some patients present with mild deformities and some have all of the above described features.  Correction of the pseudo-herniation of the nipple areolar complex often requires an incision around the areola removing extra skin and tightening the area.  This is called a periareolar mastopexy.  In order to widen the base of the breast it is often necessary to release bands that have formed at the base of breast allowing it to stretch out over an implant.  An implant is normally required to achieve stretching of the base of the breast.

Michael B. Tantillo, MD · Answer

Patients who are correctly diagnosed with tuberous breast deformity, as opposed to patients who have an underdeveloped lower pole of the breast, are best treated surgically with an implant augmentation/reconstruction, in my opinion. Many times such patients benefit from a two stage reconstruction - tissue expansion followed by exchange for a permanent implant. As always make sure you consult with a board certified plastic surgeon with particualr experience and expertise in aesthetic breast surgery. Your surgeon should be a member of the American Society of Plastic Surgeons and/or the American Society for Aesthetic Plastic surgery.

Fix Tubular Breasts Without Implants?

Answers (18)

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