Tuberous Breasts Correction

what are tuberous breasts ...

Tuberous breast deformity, also known as constricted breast deformity, is a recognised developmental condition where breast growth is restricted during puberty. Rather than expanding evenly, breast tissue remains tight or underdeveloped, particularly in the lower portion of the breast.

What is Tuberous Breast Surgery ...

Surgical strategies are tailored to the individual grade and features of each tuberous breast presentation. Each component of the procedure is selected based on a thorough assessment of the patient’s anatomy, skin characteristics, and treatment goals. Your surgeon may recommend one or more of the following techniques:

  • Tissue Scoring: Strategically placed internal incisions are made within the tight breast tissue to release constricted fibrous bands. This allows the breast to expand, laying the groundwork for reshaping through augmentation or fat transfer.
  • Breast Fold Repositioning: When the inframammary fold sits higher than expected, it is surgically lowered to help release the breast base. This repositioning supports a balanced lower pole and contributes to overall breast symmetry.
  • Areolar Reduction: In cases of herniated or enlarged areolas, a circular incision is made to reshape and resize the areolar complex. This helps with the central breast proportion and alignment.
  • Breast Implant Placement: An appropriately selected implant can alter the breast shape, projection, and volume. Our surgeons typically use a subglandular (above the muscle) placement in tuberous breast cases, supporting long-term outcomes without interfering with chest muscle function.
  • Fat Grafting: Fat is harvested from another part of the body, processed, and placed into the breast to add volume where needed. This is especially useful for softening the transition between implant and breast tissue or addressing slight asymmetries.

Single-Stage vs Staged Surgery

In mild to moderate cases, a single operation may be sufficient to release constriction, reshape the breast, and add volume. For more complex presentations involving significant tissue tightness, asymmetry, or volume discrepancies, a staged surgical plan may be recommended. During consultation, your surgeon will explain which approach may be most suitable for your anatomy and goals, supporting informed decision-making.

In a staged approach:

  • The first surgery focuses on tissue release and expansion.
  • The second procedure may further alter the shape, increase symmetry, or adjust volume once the tissues have adapted.

am I a suitable candidate ...

You may be considered suitable for Tubular Breasts Correction if you have:

  • Narrow breast base: The breast may appear narrow or constricted relative to the chest wall, often with limited forward projection. This can result in a flat or tight appearance and uneven volume distribution.
  • Elevated inframammary fold: The crease beneath the breast (inframammary fold) may sit higher than usual, reducing the breast’s vertical length and contributing to a “high-riding” or shortened breast shape.
  • Prominent areola: Herniation of glandular tissue can cause the areola to bulge outward, giving it a prominent or swollen appearance that draws attention to the central breast area.
  • Asymmetry: One breast is often more affected than the other, leading to visible differences in size, shape, or nipple position. This asymmetry can range from slight to significant.
  • Deficient lower breast tissue: The lower breast (lower pole) may lack volume or fullness, which contributes to the tight, constricted appearance and alters overall breast shape.

text

Yes, you will require a GP referral. As of 1 July 2023, AHPRA (Australian Health Practitioner Regulation Agency) requires all patients to obtain a referral from a GP (General Practitioner).

Recovery following tuberous breast surgery varies from person to person and depends on the techniques used during the procedure. Most patients can expect some bruising, swelling, and discomfort in the initial days after surgery. These effects typically ease over the first couple of weeks.

Your surgeon will provide detailed aftercare instructions, including guidance on wound care, wearing support garments, and activity restrictions. You may need to avoid strenuous exercise and heavy lifting for several weeks. Follow-up appointments are scheduled to monitor healing and address any concerns that arise during the recovery period.

It’s important to follow all post-operative advice closely, attend all reviews, and contact the clinic if you experience unexpected symptoms or have questions during your recovery.

Recovery experiences vary based on individual factors such as tissue quality, procedure complexity, and healing response.

As with any surgical procedure, Tuberous Breasts Correction involves potential risks. During your consultation, your surgeon will discuss possible risks and complications as part of the informed consent process. Visit our Risks and Complications page for more information. Risks and complications can include, but are not limited to:

  • Infection: Any surgical site can become infected. Preventative steps such as sterile technique, antibiotics where appropriate, and careful post-operative care are used to reduce this risk.
  • Poor scarring: Scars may be noticeable or may heal differently from side to side. In some cases, raised, keloid, or stretched scars can develop.
  • Asymmetry: Differences in breast size, shape, or nipple position may remain or develop over time.
  • Changes in sensation: Temporary or long-term changes in nipple or breast sensation can occur.
  • Implant-related concerns (if implants are used): These may include implant rupture, capsular contracture, or implant malposition.
  • Fluid build-up (seroma) or fat necrosis: In procedures involving fat grafting or extensive tissue work, these outcomes are possible.
  • Need for further procedures: Some patients may require or choose to undergo additional surgery in the future.

text

text

What are the signs that I might have tuberous breast deformity?

Tuberous breast deformity often presents as a narrow breast base, a high breast fold, prominent or enlarged areolas, and noticeable asymmetry between the breasts. Some patients also report a lack of volume in the lower portion of the breast.

Will my breasts look symmetrical after surgery?

While the aim is to increase symmetry and balance the breast appearance, complete symmetry is rarely achievable due to the variations in tissue and anatomy. Our surgeons focus on increasing balance and proportions, while making sure patients have realistic expectations about variability in outcomes.

How long does recovery take after tuberous breast surgery?

Recovery timelines vary depending on the extent of the procedure and individual healing responses. Most patients are advised to take 1–2 weeks off light activities, with more strenuous exercise delayed for approximately 6 weeks. Your surgeon will provide detailed post-operative instructions and personally monitor each patient’s recovery.

Is tuberous breast surgery a one-time procedure?

For some patients, a single operation may achieve the desired changes. In more complex cases involving severe constriction or significant asymmetry, staged surgery may be recommended. Your surgeon will discuss whether a single-stage or multi-stage plan is suited to your situation.

Does tubular breast surgery treat both breasts?

In many cases, both breasts are involved, but the degree may differ on each side. Surgical planning considers any differences to help achieve increased symmetry.