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Correcting Tuberous Breasts with Surgery

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Tubular Breast
Many women tend to be self-conscious about having tuberous breasts; however, an experienced surgeon can perform a dual plane breast augmentation with a periareolar lift to correct this condition.
Tuberous breasts is a condition where the breasts form into a tube-like shape because of constriction at the base of the breasts during development. The breasts also tend to develop farther apart and unevenly than a normal chest. The breasts are often characterized by enlarged areolas and sagging. Although this condition may prevent a woman from breast-feeding, it doesn’t lead to any other pregnancy or fertility related issues.
Women with tuberous breasts may range from type one, which is the mildest to type five, which is the most severe. With type one, only the lower inside of the breast is constricted. In the most severe cases, the entire breast is constricted and can be physically deforming.
While having this condition isn’t necessarily a physical concern for health related reasons, it can be psychologically troubling to women who suffer from this condition. Many women tend to be self-conscious about their breasts, and shy away from intimacy, or are embarrassed to get undressed in front of their partner.
There are also other issues to consider for someone with tuberous & tubular breasts. Many women tend to have trouble finding bras or other undergarments that fit properly. Some women have to specially order their bras in order to support their breasts correctly.
One option for women with this condition is tubular breast augmentation with a lift surgery. For women who are self-conscious or frustrated about the shape of their breasts, a surgeon can correct the size and fill out the shape. The doctor can also debulk the area around the nipple in cases where the areola is large or puffy.
The surgery is particularly challenging; however, a good surgeon with plenty of experience can correct this condition with a dual plane breast augmentation with a lift. It’s important to discuss the surgery and your expectations with your doctor before heading into the operating room, if you are considering this type of surgery. In many cases, surgery can correct this condition restoring the breasts completely.
By following these post-operative care recommendations, patients of Dr. David Tauber at DeLuca Plastic Surgery often recover quickly, experience less bruising and swelling, and can return to work or social engagements in 2-3 weeks.
Click here to contact Dr. Tauber to make an appointment for a free cosmetic consultation today!
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What is a breast lift?

A breast lift (mastopexy) is powerful procedure that can lift the nipple, reduce excess skin, and reshape the breasts to sit higher on the chest in a more youthful position. A breast lift is appropriate for patients with breasts that are adequately sized but saggy; but can also be done in combination with an implant to add volume (breast lift - augmentation), to adjust for asymmetry, or to improve unusually shaped breasts (tuberous breasts). The gold-standard method of assessing the need for a breast lift is the "pencil test." Standing in front of a mirror, lift the breast and lay a pencil in the fold under the breast and allow the breast to settle over the pencil. Look at the position of the nipple in relation to the pencil. [caption id="attachment_5884" align="aligncenter" width="450"]Pencil Test For Determining Degree of Breast Ptosis Pencil Test For Breast Ptosis[/caption] The lower the nipples and breast are below the pencil and the more excess skin you have, the greater the chance you will need a breast lift and the more of a breast lift you will need. If your nipple and a majority of your breast are at or above the pencil (Normal), you will likely get a great result from a breast augmentation alone. Larger implants can shift this equation slightly for patients that have borderline ptosis (Grade 1). The trade off with a breast lift, is a scar on the breast around the nipple with a possible extension down towards the breast crease creating a lollipop or possibly an inverted “T” pattern. The choice of incision is based on multiple factors including patient anatomy, surgeon preference, and patient preference. [caption id="attachment_5893" align="aligncenter" width="450"]Breast Lift Incisions: Peri-Areolar, Lollipop, and Inverted "T" Breast Lift Incisions: Peri-Areolar, Lollipop, and Inverted "T"[/caption]

What surgery is right for me?

A detailed examination will help delineate the best surgical treatment. The goal of a breast breast lift is to create an aesthetic breast with the size, shape, and projection that is desired by the patient. The decision about the type of surgery and, if needed, the size, shape, and position of the implants is based on the patient’s anatomy, the type and size of the implant, and patient's preferences. During your consultation, measurements of the breasts are used as a starting point to recommend a surgery and in-office sizing and digital three-dimensional computer simulations are used to help guide your implant choices.

Dr. David Tauber at DeLuca Plastic Surgery tailors the operation to each individual patient. Dr. Tauber's post-operative recommendations. Click here to contact Dr. Tauber to make an appointment for a free cosmetic consultation today! Click here to Subscribe to the DeLuca Plastic Surgery Newsletter. Get informative blog posts, helpful hints, and weekly specials delivered straight to your inbox.

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