Treatment Provider

Eric Pugash, MD
Certified Plastic Surgeon
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3 years post op.

One last picture update for those looking for before and afters for tuberous breasts. I remember how hard it was finding information without areola reconstruction, I only had the one incision under the breast on each side. Nipples and Areolas weren’t touched. Constricted tissue was released internally during implant surgery. Hope this helps whoever comes across it!

Been a while

This site keeps popping up in my email box so I figured I should leave an update since I know I was so desperate to find reviews after tuberous surgeries. Anyways, overall I am happy with my surgery and 100% glad I made the decision to go through with it. In a bra and bikini top I love my breasts now. While naked I still am slightly self conscious of them because of my areolas still being puffy. When I look in mirror facing forward I like them, but from looking down at them or from the side my breasts still have that cone shape that I despised so much prior to surgery. Part of my wants to go ahead with another surgery to have my areolas "de-puffed" and for one to be reshaped (my left is circular while my right is an oval, with the excess being below the nipple), and because of that shape plus the puffiness it gives the impression of tuberous breasts and slightly saggy on my right breast. My boyfriend says it's in my head and that everything looks great. My next appointment with my PS is in Feb so we will see. He does not recommend it as he says the scarring will be very noticeable on me, due to my fair skin.

As for comfort and how much they feel like me, it varies during the day. Sleeping comfortably on one side more so than the other. My left is harder than my right still, but they have softened up so much from after surgery. My left scar is also healing slower than my right. It's still odd to me to take my bra off and kind of feel like they might fall below where they should, as if its foreign in my body and not secure lol. Also when I lay on my back I feel as though they fall to the side a lot, but this also could be just myself not being used to having any weight on my chest for the first 22 years of my life.

I'm sized around a 30 E/F or 32 DDD and am very happy with the size I chose. I feel like this is the one thing that went completely right. They're not too big that they add weight on to my frame and but are big enough that it is a noticeable difference, and I'm able to play them up or down depending on my mood. They turned out surprisingly even considering they were two different sizes and two different implants.

So overall I'm happy, my only complaint being my right areola. Everything else is great.

Nipples/Areolas

I'm still pretty bummed about my areolas. I wish I'd gone ahead and got them redone as well, to remove the herniated tissue and reshape my right areola. I'm not happy with the puffiness of them still, and because they are puffy it makes my breasts look like they still point lower than they should be (and my right is bigger than my left). Does anyone know how much it would cost for areola reduction in tuberous breasts and if they would just use local anesthesia? Other than that, healing has been going fine. I don't massage nearly as much as I should. My scars are still rather dark. I'm just bummed, I don't care about size or boob greed at all, I just regret not having surgery on my nipples. Especially if I do decide to go back and get them done separately I'd have another set of scars since I went in through the crease the first time. Ugh

Provider Review

Certified Plastic Surgeon
610 Sixth St., New Westminster, British Columbia
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Dr. Pugash and his staff have been extremely nice and helpful when it comes to making decisions regarding my BA. I did not find Dr. Pugash to come off cold, I am not looking for a surgeon to hold my hand and tell me it's going to be okay, rather I'm looking for someone who is one of the best and has the experience to fix what I need. I feel confident going to Dr. Pugash and that he knows what is right for my body. His front desk staff are very sweet and easy to talk to as well.