Fat Grafting Plus Breast Implant for Tuberous "Constricted" Breasts? (photo)
Doctor Answers 7
Breast Implants & Fat Grafting - Tuberous Breasts
Sientra form-stable implants for tubular breasts
Tuberous Breast and Sientra Implants with Fat Grafting
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Fat Grafting not Necessary in my Opinion
I think your breasts demonstrate many of the qualities seen with tuberous (constricted) breasts.
Some of the characteristics seen with tuberous breasts include a very narrow base, short distance from areola to inframammary fold, tight (constricted) lower pole of the breasts, relatively wide space between the breasts, "puffy" and areola and some degree of ptosis (drooping).
Generally, correction of tuberous breast anomalies involves breast augmentation with areola reduction / mastopexy procedure. The distance from the inframammary fold is increased (to create a more rounded out appearance). Proper implant positioning improves the distance (cleavage) between the breasts. The areola reduction helps to treat the pointed and "puffy" appearance of the areola.
Patients should be aware that the final result will take months to see and that they will need to be patient and that revisionary surgery is more likely than in patients who do not present with tuberous (constricted) breasts.
In your case, if the appearance/shape/size of the breasts are a concern, you may be an excellent candidate for corrective surgery. Surgery will likely involve breast augmentation and some degree of breast lifting (circumareolar).
When you are ready, please make sure you consult with well experienced board-certified plastic surgeons who have significant demonstrable experience with this type of surgery. Ask to see lots of examples of their work and communicate your goals carefully as well.
I hope this, and the attached link (dedicated to tuberous/constricted breast surgery concerns) helps. Best wishes.