Tuberous breast correction is a procedure performed to correct the tuberous breast deformity. This is a congenital anomaly that affects breast development and results in tubular looking breasts. Also called tubular breasts, snoopy breasts, conical breasts and constricted breasts, this condition becomes apparent after puberty and can have devastating psycho-emotional effects on young women.
Who is a candidate for tuberous breast correction?
Good candidates for this procedure are healthy patients who have the tuberous breast deformity. Patients often present with a narrow breast base, large puffy areolas (pigmented skin around the nipple), small breast size, high breast crease, asymmetry and widely spaced breasts. The spectrum of problems ranges from mild to severe. Patients with mild disease are often unaware and usually go undiagnosed.
How is a tuberous breast correction performed?
Patients with mild forms of the deformity are often able to undergo a one-stage repair with a donut breast lift (circum-areolar mastopexy) with implants. Implants are placed to increase the size and improve the contour of the breasts. Additionally, the breast constriction is released by scoring the breast tissue, allowing expansion of the lower pole. The areolas are reduced and the breast crease is lowered. The scar for this procedure is a well-concealed circular (donut) shaped scar around the border of the areola that tends to heal very well. For those with the more severe form of the deformity, a two-stage repair is required with initial placement of tissue expanders to expand the skin, followed by exchange to implants and the other steps. As for timing for when to do the procedure, it is advised that patients be at least 18 years of age. However, surgery may also be a good strategy for younger girls at age 14 or 15 who are psychologically impacted.
What to expect after surgery?
Dr. Farris and his staff at Farris Plastic Surgery will provide specific instructions regarding your surgery. Patients are able to go home on the same day after surgery and the first follow up appointment is within one week. Postoperative pain is limited and there is minimal downtime. Stitches are placed under the skin during surgery so there are no sutures to remove in the office. An underwire bra may be used beginning at 4-6 weeks after surgery. Before that, a sports bra may be used. Avoid strenuous activity or heavy lifting for about 4 weeks. You may use vitamin E cream and scar products beginning 3 weeks after surgery to optimize healing of your scars.