The term “tuberous breast” refers to a collection of characteristics that can occur with breasts. Some of these more common characteristics can include: overall small size, a very constricted lower portion of the breast, relatively enlarged areolas which may appear ‘puffy’, and an apparently wide spacing between the breasts. One of the most common characteristics is a sagging type appearance of the nipple and areola over a constricted base of the breast. This characteristic is what led to the name “tuberous breast”.
*Individual results may vary
Most women don’t know that tuberous breasts represent a congenital anomaly (i.e., something you are born with and develop at puberty). In fact, many women think they are simply unlucky and have an unfavorable shape to their breasts. This can lead to significant distress, especially during adolescence and into adulthood when breast shape becomes more important to one’s sense of identity.
Thankfully, there are effective procedures to help restore a more natural appearance as well as a fuller bust. This allows you to wear more varied clothing types and feel more comfortable. A good first step is to call Dr. Bryan Correa for a consultation regarding your options for receiving effective tuberous breast correction.
Why consider correction?
If you have looked at your breasts and felt they were not only smaller than you would like, but seemed like they were not ‘normal’ in appearance, you might want to consider a consultation with Dr. Correa. Surgery to correct this problem may be appropriate if your breasts have some or all of the following characteristics:
- Small size
- Restricted or tight lower part of the breast (below the areola)
- Puffy nipple or areola
- Large areola relative to your breast size
- Droopiness of breast/areola over lower part of breast
- Wide spacing of breasts
- Tuberous appearance
Even if only some of the above characteristics describe your breasts, what matters is how you feel about them. Even small changes can make big improvements in your breast shape, sense of beauty and overall self-confidence.
Methods of tuberous breast surgery
Tuberous breast surgery is usually done with a combination of techniques. This usually involves increasing the size of the breast with a breast implant (similar to a breast augmentation), as well as repositioning the breast to a more ideal location (such as in a breast lift or ‘mastopexy.’) In extreme cases, or in patients who desire a significantly larger size, sometimes tissue expansion is necessary.
One of the most important aspects of tuberous breast surgery is to restore a normal volume to the breast. This is most easily done with a breast implant. Patients have a choice between saline or silicone. However, because of the nature of tuberous breast, silicone may give a more natural feel due to the relatively small amount of native breast tissue.
Although many patients seeking tuberous breast correction surgery are young, due to the anatomic changes that take place, many ages can benefit from a breast lift or ‘mastopexy.’ This approach allows us to do several things simultaneously: reposition the nipple/areola, reshape the breast, as well as decrease the size of the areola, if necessary.
In patients with tuberous breasts who either desire a significant increase in size, or have an extreme form of the condition with very little native breast tissue, it may be necessary to use a tissue expander. A tissue expander, as the name implies, is a type of breast implant that can be increased in size over time to increase the size of the breast gradually. This is different from a normal breast implant and represents the first stage of a 2-stage operation. Once you are happy with the size of your new breasts, we then need to do a breast implant exchange procedure to remove the tissue expanders and replace them with normal breast implants.
You should plan to take it easy for the first few days after surgery and avoid any unnecessary activity. The recovery is very similar to that of a breast augmentation. You will be given pain medicine which you should take as needed, as well as antibiotics. After the initial recovery you will be able to resume light activities and low-intensity jobs such as deskwork, but must avoid strenuous activity such as exercise, heavy lifting or intense work. You may find yourself getting fatigued more easily than normal for the first few weeks.
Some swelling is normal with some associated bruising as well. However, this improves over the first week or two of your recovery. You will be given specific instructions for caring for the incisions, which you should follow closely. You should contact Dr. Correa if you notice anything unusual, such as redness, fever, or new, asymmetric swelling.