Surgery of the Week #7
Breast Augmentation for correction of severe Tubular Breast Deformity.
This 24 year old patient from San Diego was interested in correction of her tubular breast deformity. She has asymmetric constricted breasts bilaterally. Tuberous (constricted) breasts are when one or both breasts are narrowed with breast tissue “herniating” into the areola creating a “puffy” appearance to the areola. 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. After meeting with Dr. Pousti multiple times, she decided to proceed with bilateral breast augmentation with silicone gel implants for the correction of her bilateral tubular breasts– which were asymmetric (different on both sides).
Dr. Pousti spent about an hour with this patient’s markings to make sure correct measurements were made to achieve the best results for this patient.
Mid-April 2007, she proceed to the operating room for correction of tuberous breast deformity with bilateral breast augmentation with 450cc silicone gel implants and peri-areolar mastopexy. 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.
Because of the incision that is made around the nipple-areola complex, steri-strips (tapes) are used on the incisions to assist in the healing process.
She is only months post-op surgery and extremely happy with her results. She has a very natural result.
