Mildly tuberous breasts with cc moderate plus smooth silicone implants 5 This is a 27 year old healthy white female from out of town. She has had no previous surgery and has three children whom she was able to breast feed to a mild degree. Her bra size was a 36AB. Her desire was to be in the full C cup range.
Examination showed a mild tuberous shape to the breast. There was a short nipple to inframammary fold distance with a tight lower pole and enlarged areola, but no significant herniation. After external sizing she wished to go with a larger prosthesis in the cc range.
She underwent my standard approach for a tuberous breast case with an initial periareolar incision, aggressive release of the lower pole, dual plane augmentation and periareolar mastopexy. Postoperatively she has done beautifully.
I saw her back at two weeks and as demonstrated by the photos the breasts are healing nicely. She now has a distinct lower pole, smaller and more natural appearing nipple areola and she is achieved her desired increase in bra size. The breasts will continue to soften and become even more natural in appearance over the upcoming months and all the appearances of the mild tuberous nature have been removed. She is quite happy.
Correction on variation of tuberous breast deformity 5 This is a 25 year old healthy white female with no previous surgery. She is a non-smoker. Her bra size was a 34A with a tuberous component, more so on the left than the right. She had herniation of the nipple areola, but not an overly constricted lower pole.
Since she lacked much in the way of breast tissue to correct her abnormality and asymmetry she would be approached as a full tuberous case with a release and creation of the lower pole, dual-plane augmentation and periareolar mastopexy. Her desire was not to be much larger in size but to have a more natural appearing breast shape. That being the case, having done external sizing she chose implants in the low to mid cc range and underwent the tuberous correction utilizing a cc moderate plus smooth silicone implant on the right and a cc implant on the left with standard release and periareolar mastopexy.
Her postoperative course was completely unremarkable and two months after surgery she is healing beautifully. The breasts are round, symmetric, she no longer has the small nubbin tuberous areola and the scars are settling in quite nicely. She is ecstatic with her surgical outcome with improved self-confidence and self-esteem.
Tuberous breast correction with asymmetric nipple areola positon 5 This is a healthy 22 year old white female. She has not had any previous surgery. Her bra size was a 32A with asymmetry. Examination showed a mild tuberous deformity.
She did not wish to be excessively large just in the full B cup range. Examination confirmed the mild tubular deformity and the left breast was slightly larger by approximately 25cc. Her base width was In order to correct her asymmetry she required a dual-plane augmentation with a periareolar mastopexy. Due to the mild asymmetry a cc moderate plus smooth silicone implant was placed on the right and a cc implant was placed on the left. The lower pole was released on both sides.
A more aggressive periareolar mastopexy was performed on the left side to being the nipple areola to a higher, more even position with the right side.
Her postoperative course was uneventful except for a minor suture infection on the left superior mastopexy incision. Photos obtained at six months demonstrate the marked improvement in her asymmetry and tuberous nature of her breasts. They are fuller and round with good lower pole projection and the nipple areola are at a nice even height. The scars have settled in nicely and she is quite pleased with her surgical outcome.
She has had one child and is a competitive body builder. She presented with moderate tuberous breasts with a poorly defined inferior pole and a large nipple areola complex.
Her bra size is a 34A and her desire was to be in the small to mid C range, giving her a natural appearance while wearing a bikini during her competitions. In order to correct her deformity she underwent a dual plane augmentation mammoplasty releasing the entire lower pole and lowering the crease.
This allowed placement of a cc Mentor moderate plus smooth silicone prosthesis with the upper half beneath the pectoralis muscle and the lower filling out what should have been the lower pole of the breast.
At the same time she underwent a periareolar mastopexy to diminish the large diameter of her nipple areola complex.
Her photos were obtained the following day since she lived at a considerable distance. They show that the essential goals have been nicely achieved. The breasts are symmetric and round with a nice enhancement of the lower pole, the nipple areola complex is smaller and at the same height. Over the next several months the breasts will soften and take on a less tight and round appearance. Tuberous Breast Correction "Snoopy Nose" Deformity 3 This set of before and after photos features "tuberous breast deformity" correction of a 28 year old female height: 5'3"; weight: lbs from Sydney, Australia who contacted me via email after I answered question she asked about her tuberous breasts on RealSelf.
After several discussions through email, she decided that I was the plastic surgeon she was looking for and made plans to fly to Albany and have her surgery. On the right side she had a classic tuberous breast with a large and herniated nipple-areola-complex NAC.
Her right breast also had a narrow base width with a short nipple to infra-mammary fold distance. The left breast was less so with just a tight, constricted base. The left breast was slightly smaller than the right. She had consulted with numerous plastic surgeons throughout the world and ultimately contacted me through the Real Self website, where I was able to answer her questions about tuberous breasts deformities.
To correct the issues detailed above, I performed a differential augmentation, utilizing a cc moderate plus, smooth silicone implant on the left and a cc implant on the right. The inferior pole was released through a dual plane augmentation. Photos taken during her initial post operative photos show symmetric, excellently positioned breasts that are no longer tuberous. The peri-areola mastopexy succeeded in minimizing all puffiness in the nipple areolas by flattening them out while the dual plane augmentation enabled generous release of the constricted inferior pole.
After 2 weeks of rest, relaxation, a visit to NYC patient flew home to Australia. We kept in close contact throughout the recovery period via email and were able to track her progress using the photos she included with her updates. Her latest email - which included photos taken 11 months after surgery - showed well healing and beautiful looking breasts that fit her frame perfectly.
Her happiness with the result and new found confidence it has provided her is the greatest gift a patient can give their their surgeon. If you'd like to read more about this case, click here to read her tuberous breast surgery diary on RealSelf. Tuberous Breast With Asymmetry 5 This is a healthy 19 year old young woman who had no previous surgery. Her bra size was a 34A with asymmetry.
The breasts themselves were also tuberous in nature. The right had a tight inferior pole with a protuberant nipple areola complex. The left was markedly deficient in tissue with no lower pole at all. She had traveled to see me from another state and we discussed at length the techniques needed to correct her tuberous condition.
On both sides a dual plane augmentation was necessary with release of the lower pole and a right periareolar mastopexy to diminish the herniation in the nipple areola complex.
She also would require differential augmentation because of the significant asymmetry. Due to her age she was required to use saline implants. She decided to proceed and underwent bilateral dual plane augmentation with a right periareolar mastopexy.
On the right side we used a cc moderate smooth saline prosthesis that was filled to cc. On the left we used a cc moderate plus smooth saline prosthesis that was filled to cc. Her postoperative course was unremarkable. Two months later she is completely healed. The breasts are symmetric, natural in appearance and no longer have any signs of a tuberous deformity. Her personal self-esteem has been greatly enhanced.
She is wearing normal clothing for the first time. Correction of tuberous breasts going from A to C bra cup size 5 This is 23 year old healthy white female with no history of previous surgery.
This patient was told preoperatively that this extra skin would need to be excised and she would have as car under both breasts. The scar fades over two years. Gray corrected the botched procedure.
Call or Email Dr. Gray to set up a private consultation to address your concerns or e-mail: info anewyou. Nipple and Areola Procedures. Body Selection Tool. Breast Procedures. Scarless Breast Augmentation. Breast Enlargement. Breast Reduction. Breast Lift. Internal Bra. Removal of Breast Implants. Changing Placement of Implant. Protuberant and Herniated Nipple.
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