Tuberous breasts (sometimes called tubular breasts) occur when the breast is constricted at the base as it develops. The smaller base causes the breast tissue to push forward and sometimes down. Many times a tuberous breast has herniated tissue pushing it against the areola, causing it to bulge or enlarge. A higher than normal inframammary fold (where the breast attaches to the chest wall) is also likely to be present, and that will further exacerbate the tube-like shape. Women coming to see Beverly Hills plastic surgeon Dr. Cassileth for this condition will sometimes refer to them as "Snoopy breasts" because of their appearance.
Age: 43, from Arizona. Patient had severe capsular contracture, pain and asymmetry due to a tuberous breast. Dr. Cassileth performed removal and replacement of bilateral breast implants.
In the following video Dr. Cassileth shows how she corrects tuberous breasts in surgery. It is important to note that breast implants are only one of the methods used to correct this condition. Other solutions Dr. Cassileth performs in surgery include breast lift, and fat grafting breast augmentation.
It's not uncommon for women to be self-conscious or uncomfortable about their tuberous breasts. It can be difficult for them to find bras that work well for them, or make them avoid intimacy to avoid having to show another person their breasts. In severe cases, tuberous breasts can be truly disfiguring. Fortunately, Dr. Cassileth offers a number of precision techniques to correct tuberous breasts and help you feel more comfortable and confident in your appearance.
The first step in correcting tuberous breasts and enhancing your look is to determine the ideal size breast for you, so that Dr. Cassileth can determine the best way to proceed with surgery. Dr. Cassileth will work closely with you to make this essential decision.
In some cases, tuberous breast asymmetry correction surgery may be covered in part by your insurance company. Before surgery, our billing team will verify your benefits to see if your insurance plan provides coverage.
To help you prepare for and understand what to expect from tuberous breast symmetry surgery, Dr. Cassileth will explain the process in detail during your personal consultation and pre-surgery appointments. A summary of the process and brief explanation of various incision techniques is also described at this time.
Essentially, Dr. Cassileth performs tuberous breast correction surgery through a small incision in the lower breast, usually at the bottom edge of the areola. This allows her access both to make an incision to release underlying constricted breast tissue and to place an implant. This incision allows Dr. Cassileth to "unroll" the breast so that it extends to the correct position, which extends the base of the breast, creates a pocket for the proper placement of the implant, and raises the nipple position. The nipple height or areola width will also be adjusted for balance and symmetry.
Dr. Cassileth will thoroughly evaluate your specific needs, make specific recommendations, and work closely with you prior to surgery to ensure that you understand both what to expect and what the end result of your procedure will be.
Plan on relaxing at home the first two days after your surgery. You will be in a comfortable surgery bra that has adjustable straps. You may take pain medication during this period of time. After the first few days, most people are up and around, off all prescription pain medication, and usually have resumed basic activities. However, it is important to avoid all exercise, heavy lifting, and other more strenuous activities for the first three weeks. If you go to work, expect to be more tired during the first week and sore by the end of the day. If your work involves a lot of moving of your upper body, take the entire first week off.
Dr. Cassileth insists that all patients undergo a six-month scar treatment regimen after surgery to minimize all scars. During the healing period, the breasts often have tight or small lumpy areas where the internal sutures are located. This is common and is most prominent 4-8 weeks after surgery. These sutures are absorbable and any lumps caused by them will resolve. Your breasts need up to 2 months to fully heal and take their final shape. Our team will discuss with you what kind of support and activity you will need during this time.