Tuberous breast is a congenital condition, which can severely affect your quality of life.
This genetic condition which is sometimes referred to as constricted breasts, tubular breasts or herniated areolas varies considerably in severity but in most cases causes issues with either balance, overall breast symmetry or breast aesthetics. Patients come to Elena Prousskaia seeking to resolve sometimes longstanding issues with breast aesthetics related to tuberous breast conditions. This article will explain more about the condition and Elena’s approach to cosmetic surgery.
• What’s the Definition of Tuberous Breasts?
• Tuberous Breast Correction Surgery Process
• Advice On Breast Implants
Your breasts are usually under-developed and are of an ‘unusual’ shape due to lack of volume, constriction of the breast base and a prominent, enlarged areola. The narrow base can cause the breast to look elongated.
It is called tubular because it is in a way similar to the tube instead of the normal teardrop breast shape.
There are a number of techniques Elena can use to restore shape, volume and symmetry to your breasts. She could use your own tissue, fat transfer, implants, expanders and/or remodeling of your breast tissue. The choice of technique suitable for you will depend on your expectations and the breast volume and shape that you would like to achieve. It is a decision which youÂ will make together following a long discussion and examination in the clinic.
It is normal to have a second consultation, for you to ask any further questions, once you have had time to consider the different surgical options. After the decision is made we will carefully prepare for your surgery.
Since December 2018, many regulatory bodies around the World have issued statements regarding their own position and some have limited the distribution of other textured devices. The advice does vary from country to country because the research data available is limited and not conclusive. None have called for the precautionary removal or replacement of textured devices that are already inside patients’ breasts.
Breast implants however are not lifelong devices and in general will need removal or replacement at some point. In an effort to have more robust data about both conditions, the Breast and Cosmetic Implant register (BCIR) collects breast implant data for patients in England and Scotland. The MHRA continues to collect and analyse UK information through a reporting system. It also has links with up to date information from international public health organisations. The most recent advice from MHRA on BIA-ALCL was updated on the 4th April 2019.
View the MHRA statement on Allergan
Many of Elena’s tuberous breast patients have felt self-conscious about the issue since puberty, which is when this issue manifests. If you are concerned that your breasts are either not developing normally, or have never reached their shape, we suggest you book a confidential discussion with Elena to discuss whether this surgery might be appropriate for you.
If any of the following characteristics feel true, then it is likely this is the correct surgical procedure. Of course, this can be confirmed following a detailed discussion with Elena:
• Elongated or coned Breasts
• Narrower breast base
• The fold beneath your breast (inframammary crease) is high
• Prominent enlarged areola.
While complications with surgery are infrequent, no surgical procedure is without risks. Among the possible complications are scars, infection, haematoma, implant displacement, breast asymmetry, implant rupture and capsular contracture. Elena will provide you with further information with the risks and provide you with a detailed consent form during your consultations. This will help you to minimise the risks.
The Elena Prousskaia Clinic prides itself on the quality of its aftercare so we’ll make absolutely sure you know what to expect, and how much rest is needed. We’ll give you specific instructions that may include how to care for your breasts following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, and when to follow-up with Elena. Elena will also advise you on a specialised garment bra which will also help with your recovery.
Tuberous breast correction ensures that patient gains missing volume especially in the lower pole of the breasts, which tend to be short of skin and breast tissue. Once the lower pole of the breast becomes rounder and fuller a bra would normally fit well.
The procedure is carried out under general anaesthetic. The length of surgery is between 2-3 hours however this is dependent on the complexity of surgery. The placement of scars will depend on your preference and the recommendation. The missing volume is restored with implants after breast remodelling is completed, normally as part of the same procedure. Areola reduction can be performed through periareolar approach, with a scar around the nipple areola complex. The Implant often can be introduced through the scar using a Keller funnel resulting in minimal scaring. Very rarely in severe grade of tuberosity a two stage surgery may be needed. In these rare cases, tissue expanders would be placed first to stretch the tissue and at the second stage it would be replaced with implants.
Please scroll down for more information on pricing.
Normally, after a one-night stay, you would go home once the drains are removed. You may feel tightness of your breasts after this surgery. This is normal and it will improve gradually. You should avoid all sport activities, housework such as hovering, driving, dog walking for at least 4-6 weeks following surgery and any weight lifting or strenuous activities for up to 8-12 months following the surgery. The visibility of your scars will depend on the technique used and on the biological response of your body to surgery and healing. Generally the scars after this type of surgery are almost invisible by the end of the year. Patients can benefit from taking four weeks off work, and after you have seen Ms Prousskaia for your four weeks follow up you can discuss beginning a gym routine focused on lower body strength.
The shape of implants can be round or anatomical (teardrop). Both can provide an excellent result. The outer shell and the filling may vary depending on the manufacturer. Miss Prousskaia has never used PIP implants in her practice and she will offer you high quality implants from the best manufacturers. You will discuss with Miss Prousskaia which specific shape and size of implant would give you the optimal result. You should know that in the European Union (EU) 95% of implants used for breast augmentation are made of silicone gel and only 5% contains other type of fillings such as saline. Mentor Silicone Gel-Filled Breast Implants are devices with shells constructed from silicone elastomer. The shell is filled with MemoryGel®, Mentor’s proprietary formulation of silicone gel.
Elena prides herself on taking the time to truly understand a patient’s aims and discussing what result will work best given the patient’s body shape and size. Although good results are expected, the body is not symmetric and almost everyone has some degree of unevenness, which may not be recognized in advance. The more realistic your expectations as to results, the better your results will be in your eye. You will have at least two consultations with Elena where she ensures that she meets your expectations and she will always try to achieve your desired results.
The total cost of the surgery will be confirmed after the first consultation.
The cost includes the hospital, surgeon and anaesthetic fees. It also covers all post-operative visits. The initial consultation fee will be invoiced separately. The prices apply only at the time of publication and are subject to changes without notification.VIEW ALL PRICES
Please browse other patients amazing results for this procedure.
By clicking to view images you consent to being over 18 years old and understand you are opening explicit images.OK
Download more resources specific to this procedure.
SM – Abdominoplasty & Liposuction
EG – Removal & Replacement of Implants
JB – Breast Reduction
LMS – implant Removal & Replacement
SM – Abdominoplasty & Arm Lift