Tubular (Tuberous) Breast Deformity
Article Contributed by Dr. Tom Pousti, San Diego, CA
Tubular breasts have a very narrow base and usually a long skin envelope. Sometimes people refer to "tubular breast" shape as the shape similar to "snoopy's nose". In the most severe cases of tubular breast, a breast lift can be done through an incision around the areola, making the breast into a more rounded shape that the patient will be happy with. In many cases however, a lift is not necessary. The patient should be aware that the final result will take months to see and that they will need to be patient.
The Surgical Procedure
The surgery is usually done under a light general anesthesia and the procedure takes about two to three hours. The incision is usually confined to around the nipple entirely or beneath the crease, and can be very inconspicuous. The procedure involves making internal incisions to release the tight breast tissues, making a larger space for an implant, rounding out the lower breast crease, and correcting enlarged and protruding areola.
Placing a breast implant underneath the breast and pectoralis muscle, along with making small incisions on the inside of the breast will usually allow this tight skin to spread into a better shape. This process can take a few months but usually results in a very pleasing shape without the telltale scars of a breast lift.
What To Expect After Surgery
There will be a recovery time of 1-2 weeks just as with breast augmentation surgery for non-tubular breast patients. Bed rest, along with plenty of fluids, is necessary after surgery. Your chest will be sore. Your Surgeon will prescribe appropriate pain management medications. Take your medication regularly and keep your office visits. Usually after a week, you will begin to feel back to normal.
A brassiere and bandeau will be fitted for you during your first week of recovery. These will need to be worn for a month. You will not be able to shower until your sutures are removed. Initially, breast implants will appear to be slightly higher than normal and your breasts will be swollen. Over time, the breast implants will descend to a more natural position.
Steri-strips are placed around the areola (where the incision is made). These steri-strips will fall off on their own
