Have you heard of tuberous breasts or unfortunately do you have them? They cause embarrassment and low self-esteem for many who have them.
But what are they actually? Well, they are a hereditary deformity and affect around 5% of the woman population, typically occurring during puberty when primary breast development starts.
Fortunately, this condition can be treated almost always successfully through surgical procedures that provide fullness to the breasts and round out their cone shape and lift them.
Symptoms of Tuberous Breasts
Usually tubular breasts are formed when the lower part of the breasts (lower quadrants) doesn’t form in full and looks constricted due to tight overlying skin.
The fold below the breasts may shift upwards and the rest of the tissue tilts downwards. If the areola’s dermis is thin, breast gland may herniate through the areola forming a prolapse of the nipple-areola complex.
Though they are generally known as tuberous breasts, they can have a variety of appearances. Some of the most common among them are:
- Abnormally narrow base of breasts
- Conical shape with bigger areola
- Breast tissue seems to project into nipple and areola
- Top half of the breast flat
- Breast skin under the nipple tightened
- Noticeable space between breasts
- Poorly distinct or lacking inframammary fold
Thus several variations may exist, but it’s helpful to distinguish between those with small breasts (hypoplastic type) wherein even the gland is underdeveloped and those with normal volume (normovolemic type).
In some women, the condition occurs in only one breast and thus forms an asymmetric appearance. Minimising this is very challenging.
However, no matter whether the deformity is in one or both the breasts, there are cosmetic surgery procedures available that can provide normal positioning and shape to the breasts and ensure symmetry in the body profile.
They just depend on how the size and shape of the breasts have to be changed.
The most commonly used procedure to rectify tubular breast deformity is breast augmentation with implants.
Accurate placement of saline or silicone implants offer the desired fullness lacking in the tuberous breasts.
Some women may simultaneously need a breast lift procedure to make the breast look more natural.
Some women may have to undergo procedures that can bring the nipple and areola into proportion with the rest of the breast.
Patients who have overly small or narrow breasts may require get a tissue expander implanted to expand the tissues before correction through implants.
You may even inquire if you can have another cosmetic procedure such as tummy tuck Sydney at Breast & Body Clinic along with tuberous breast correction procedure.
Tuberous breast deformity correction procedures are usually performed on an outpatient basis. Hence, patients can usually go back to home the same day.
Most have to spend the first couple of days resting and dealing with discomfort with oral pain medications.
Usually patients can resume their work and routine activities within 1 or 2 weeks after the correction surgery.
Image Courtesy: bbclinic.com.au
Steps in the Surgery
There are three major steps in the surgery:
1. Expanding the Breast Base
This can be done either with a fixed volume implant or may need an expander. In case of an expander, the breast can be slowly stretched into shape and then replaced with a permanent implant after a few months.
2. Filling in the Lower Half
If the patient with tuberous breasts according to Breast & Body Clinic, for example,has adequate skin already or after expansion, the volume of the lower half of the breast is addressed, either with an implant or sometimes moving tissue from some other part of the body into the breast.
A scar around the nipple and a short vertical scar on the lower portion of the breast are formed in this step.
3. Repositioning of Nipple
Your surgeon may also think of reducing the areola during the procedure.
For most patients, all these three steps can be performed with an areola incision.
So, don’t get upset. Your deformity can be corrected. So, cheer up!