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Tuberous Breast Surgery

If one or both of your breasts have a narrow, cylindrical shape, high creases under the breasts, wide cleavage spacing and/or oversized, “puffy” areolas, you may have tuberous breasts – a condition which can be corrected with surgery. At my Santa Monica practice, I see women who have experienced a great deal of embarrassment and self-consciousness due to the appearance of their breasts. I perform this surgery to help women achieve an aesthetically pleasing breast shape and position, which can dramatically improve their body image and confidence.

If you are bothered by what you think may be tuberous breasts, I am happy to meet with you at my office in Los Angeles County and answer all of your questions. Request a consultation or call my office at (310) 576-3635 to schedule your appointment.

Tuberous Breast Surgery Patient Photos

Before
After

Tuberous Breast Surgery Case 166

This 31-year-old woman wanted to improve her breast shape and increase their size. Her complaints included asymmetry in size, "pointy" shape, and size that was disproportionate to her body. I determined the patient had a mild form of tuberous breasts, so I recom...

Before
After

Tuberous Breast Surgery Case 2

This patient, a 23-year-old mother, was unhappy with her breast shape, size, and asymmetry. She also wanted to improve the appearance of her abdomen and torso. I determined that she had a breast deformity called tuberous breasts, which required both breast augmentation and a breast lift to correc...

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What Are Tuberous Breasts?

Tuberous breasts, also called tubular breasts, result from a congenital condition that develops in some women during puberty. It ranges in severity from very mild unevenness to extreme breast deformity. Either one or both breasts may be affected. The condition can take different forms in different patients:

  • Small breasts due to insufficient glandular tissue (hypoplasia)
  • Breasts that sit high on the chest
  • Breasts that are widely spaced
  • An abnormally high breast crease (inframammary fold) or no breast crease at all
  • Puffy, oversized areolas caused by breast tissue that has herniated into the looser skin of the nipple and areola
  • A significant difference in size and/or shape of the breasts (asymmetry)
  • Downturned nipples

With this condition, the breast does not grow into the typical round shape, because it is constrained by the tight skin and the fold. Instead, the breasts end up narrow and elongated, resembling (in more severe cases) tubers such as sweet potatoes, hence the name tuberous breasts.

A Personalized Breast Enhancement

Many people erroneously believe that tuberous breasts can simply be corrected by placing a breast implant during breast augmentation surgery. However, tuberous breast surgery, if done properly, can be one of the most challenging breast procedures a plastic surgeon performs. It requires a significant amount of training and experience, and few cosmetic plastic surgeons truly specialize in this corrective surgery.

I have helped many women, with varying degrees of this disorder, to have fuller, rounder, more natural looking breasts. The surgery to correct this problem is sometimes done in a single stage, but may require multiple stages depending on the severity of the condition. Like all of my surgical procedures, I look at each tuberous breast case as a unique challenge, and the techniques I use are customized to meet the individual's needs.

Am I a Candidate for Tuberous Breast Surgery?

At your consultation, I will spend a significant amount of time with you to get to know you personally, review your medical history, and perform a physical examination. We will explore your reasons for seeking cosmetic surgery, and I will explain the possible results.

Good candidates for tuberous breast surgery at my Santa Monica practice share a few common qualities:

  • They are unhappy with the shape and size of tuberous breasts.
  • They have realistic expectations for the outcome.
  • They understand that the correction may require more than one procedure to achieve optimal results.

If I determine that you are an appropriate candidate for surgery, I will explain your options in detail.

Surgical Details

I typically perform tuberous breast surgery as an outpatient procedure. General anesthetic is administered under the care of a board-certified M.D. anesthesiologist. While I adjust procedures to the patient's unique needs, every procedure has a few parts in common:

  • Lowering the inframammary fold to a normal position
  • Scoring the breast tissue internally and expanding the constricted breast skin and tissue to create a rounder, more natural breast shape
  • Placing breast implants, often of different sizes to correct asymmetry, under the pectoral muscles
  • Possibly removing excess or abnormal breast tissue from behind the areolas
  • Performing a breast lift with incisions around the areolas (i.e., circumareolar mastopexy) to improve breast shape, reduce enlarged areolas, and elevate the nipples to a higher position

In most cases, I can perform all of these corrections in a single procedure. In cases where the skin is exceptionally tight, though, these steps may need to be staged. I can also combine tuberous breast surgery with other procedures, such as liposuction or fat grafting, for a more comprehensive and dramatic enhancement.

Frequently Asked Questions

What is recovery like after tuberous breast surgery?

I tell my Santa Monica patients that recovery after corrective breast surgery varies with the severity of the condition. You will receive specific instructions for aftercare and recuperation when we meet for your final preoperative appointment. You may need to wear a surgical support bra for the first week. Generally, my patients are ready to return to work or school in about a week. If your job is physically demanding, you may need additional recovery time.

This procedure involves opening up the breast tissue and skin, which typically results in more swelling than a typical breast augmentation or lift; compared to those procedures, it may take more time for the swelling to dissipate and your final results to emerge.

How much does tuberous breast surgery cost?

Women have varying degrees of tuberous breast deformity; this equates to varying costs that depend on your unique anatomy, needs, and goals. Besides the severity of your condition, the price we quote also varies with the cost of the implants (if used), operating room fees, anesthesiologist fees, and more.

At the end of your consultation, we'll provide you with a written quote that reflects the total cost of your procedure. If you live out of the area, we offer the option of emailing photos to my office, which I can use to estimate a surgical plan. My staff uses this estimate to provide you with a "ballpark" price.

I offer flexible financing options for patients, as well. This may help you achieve your aesthetic goals on terms that work for you.

I had breast augmentation by a surgeon who didn't know how to correct tuberous breast deformity. Can you fix my results?

Revision procedures are often complex and quite challenging. I believe that every patient deserves to feel beautiful and confident about her body. Helping patients with tuberous breast deformity attain the attractive results they want is one of my specialties. Experience is especially important in revision tuberous breast surgery, because the combination of these procedures is often more complex than breast augmentation revision surgery or tuberous breast surgery alone.

Will I be able to breastfeed after tuberous breast surgery?

Surgery typically does not affect a patient's ability to breastfeed. That said, every case is unique and many women with this condition may already be unable to breastfeed due to hypoplasia of the mammary glands. In such a case, the mammary tissue (i.e., milk glands) does not develop completely during puberty.

How long will I need to wait to go back to my regular exercise routine?

I encourage most patients to resume walking and light activity the day after surgery. You will need to hold off on strenuous activity for approximately a month to 6 weeks.

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Dr. Robert Cohen

Certified by the American Board of Plastic Surgery

Dr. Cohen is a leader in the field of aesthetic plastic surgery whose expertise is highly regarded by both patients interested in improving their appearance, and plastic surgeons seeking to improve their techniques by attending his lectures. Dr. Cohen's goal is to understand your specific concerns, evaluate your anatomy in detail, and create a customized plan to help you achieve the best results possible based on the most modern techniques and materials available. Let him put his experience and aesthetic insight to work for you.

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