Tuberous breasts, also called tubular breasts or constricted breasts, are a common condition that affect many women’s breast size and shape. Tuberous breasts usually become evident during puberty and the early phases of breast development, and can have a profound impact on a woman’s physical balance, appearance, and sense of self-confidence. The condition can include any combination of these physical characteristics:
• Asymmetrical breasts
• Constricted breasts
• Hypoplasia, or underdeveloped breasts
• Areolar herniation, or puffiness and bulging of the nipple area
• Breast skin deficiency
• A deformed inframammary fold, or the crease beneath the breast
Sometimes, tubular breasts are misdiagnosed as small, underdeveloped breasts and treated with breast augmentation techniques, which fails to consider the varied physical characteristics of tuberous breasts. Many considerations besides size go into treatment, including breast reshaping, treatment of the areola, or nipple area, and the inframammary fold. Breast augmentation may be used when necessary, but it is only part of a complete treatment. At Beverly Hills Plastic Surgery Group, we make those fine distinctions, and ensure a complete treatment that addresses all physical aspects of tuberous breasts.*
Cause and Symptoms of Tuberous Breasts
The exact cause of tuberous breasts is unknown, but it is theorized that the deformity begins at the embryonic stage of development. No clear genetic link has been found between cases of tuberous breasts. The deformity becomes clear in the first stages of breast development, and is often related to thin or constricted connective tissue around the areola. Tuberous breasts are often asymmetrical, with differences seen in breast shape and volume, the size of the areola, and ptosis, or the amount of breast droop.
Benefits of Tuberous Breast Surgery
Choosing the right surgeon is essential for tuberous breast surgery, since it is more than just breast augmentation. In dramatically sculpting and reshaping the breasts, a successful procedure is as much a creative process as a corrective one. At Beverly Hills Plastic Surgery Group, you will find that level of care and attention to your unique needs, as we work with you to craft a treatment that will make you feel powerful and confident.*
From your first consultation to your last post-op visit, we establish a personal connection that makes you feel comfortable and well-cared for. We bring not only technical expertise honed from many successful treatments, but an appreciation for aesthetics and proportionality crafted to your body’s shape and size. Our passion is for treatments with results that are not only beautiful, but transformative, bringing a sense of enhanced well-being and confidence. We understand the deep impact, both physical and emotional, of breast deformity, and strive to address those needs in a comprehensive, unique treatment plan, and warm, comfortable personal experience.
Planning Tuberous Breast Surgery
Many factors need to be considered when planning your unique tuberous breast surgery. Any combination of the following physical traits may need to be addressed:
• Breast base constriction, from mild to severe
• Breast volume, from minimal to severe deficiency
• Ptosis, or the amount of breast droop
• Skin envelope, or the amount of skin surrounding the breast
• Areolar herniation, or the amount of enlargement of the areola (nipple)
• Position of the inframammary fold
Your surgeon will assess these traits and determine the type of tuberous breast deformity.
Type I is the mildest form, with some breast constriction and ptosis.
Type II includes more dramatic breast constriction and underdevelopment, with possible areolar herniation.
Type III is the most severe form, with many of these possible traits manifesting themselves.
Beverly Hills Plastic Surgery Group’s Real Patient Results*
After your type is assessed, your surgeon will consider many components of surgery, based on your body shape and your wishes:
• The location and type of incisions
• The type of breast implants used, either silicone or saline, and placement
• The number of stages required
Preparation for Surgery
The process begins with an initial consultation, where we will assess your breast type (described above), and discuss your wishes for the ideal treatment. If you elect for surgery, you will return approximately two weeks before the procedure for a comprehensive preoperative visit. Here, we will prescribe medications for before and after the surgery. We also conduct a series of sizing exercises, using neoprene inserts placed inside a special bra, to determine the desired breast size and shape. You should avoid medication such as aspirin or ibuprofen that has a blood-thinning effect for two weeks pre-surgery. Finally, we order routine lab testing, and obtain any necessary breast imaging studies.
The surgery is performed under general anesthesia, with a length of approximately 2.5 to 3 hours. The majority of cases involve a one-stage procedure, where the insertion of appropriate implants can take place in one session. In severe cases of breast constriction, a two-stage procedure may be required, since the skin and tissues must be expanded to accommodate the new breast shape. In this case, we use a temporary adjustable saline implant which is gradually filled over several weeks or months to achieve the desired tissue expansion. In the second procedure, this temporary implant is replaced with a permanent one.
Recovery usually takes 1-2 hours, and you may wait in our recovery room until you are ready to be discharged in the care of a family member or friend. Depending on the length and intensity of the surgery, you may be ready to return to work or school within a few days. During the first week, you will need to wear a post-surgical bra that we will provide. Your breasts may be firm and swollen for approximately two weeks.
If you have any concerns or questions, call immediately, and we will be ready to assist you at any time of day. Your routine follow-up visits will take place after one week, six weeks, and twelve months.
Schedule a consultation immediately, and Drs. Danielpour and Layke will be happy to walk you through the tuberous breast correction procedure. We can’t wait to help you at Beverly Hills Plastic Surgery Group.