CHOOSE YOUR TREATMENT Tuberous Breast Surgery
Named because the breasts are shaped like tubes, tuberous or tubular breast abnormality is a condition that can make a woman feel self-conscious and insecure. Usually caused by a lack of development in the breast tissue during puberty, it leads to a malformation that can see the breasts grow asymmetrically as well as appear droopy and unusually far apart.
What is it?
There is no known cause for tuberous breast abnormality but it is very much treatable by the correct
specialist.This fairly complex surgery aims to restore the breasts to a more 'normal' shape and size.
Who does it?
● Plastic Surgeon ● Breast Surgeon Who is suitable?
You’d need to have a thorough consultation with an experienced surgeon to ascertain whether you are suffering from tuberous breast
abnormality.The problem is divided into categories of severity from grades one to three and can be difficult to detect when it is less severe and difficult to treat in the more severe cases, which is why it is important to ensure that your surgeon knows what s/he is doing (see box).
What’s the treatment like? Tuberous breast abnormality can’t be corrected with
a simple breast augmentation - in fact that can make it much worse.
As well as placing the appropriate type of implant, the more minor grades are addressed by releasing constricted tissue internally, through the same incision as is used in Breast Augmentation Surgery.Where the nipples are at obviously different heights, a partial Mastopexy might be necessary.
For those grade two to three cases where there is a marked distortion of shape, the correction may need a combination approach, of constriction release, Mastopexy and Breast Augmentation Surgery.
What happens afterwards?
Your recovery time will very much depend on the techniques used to treat the problem - turn to the relevant pages for more information on the different breast surgery options.
Cost From £5,000 to £10,000 Oncoplastic breast surgeon Mr PhilipTurton on why it can pay to see a specialist
Not all general cosmetic surgeons who perform breast surgery have the expertise to detect or deal with asymmetry or developmental breast problems. It is an area of expertise that comes with caseload, experience, technical skill and a desire to achieve the best for
patients.This is especially the case with the tuberous breast abnormalities.
Between one and five per cent of patients requesting breast enlargement surgery will have these subtle differences and a simple breast enlargement procedure can cause surprisingly awful results if the wrong technique is used.
This is why I believe patients with any breast asymmetry should see a surgeon who is a specialist in breast surgery, reconstructive surgery and cosmetic breast surgery who can readily discuss their experience in dealing with these sort of cases.
A typical error is for a patient with a mild and perhaps
unrecognized constricted breast to be augmented with a tear drop style breast implant, usually with a partially behind the muscle
approach.After such surgery there is a marked double-bubble deformity on the under surface of the breast.
If the constriction had been spotted and the correct technique been applied this would have been predicted and dealt
with.The more minor variants of tuberous breast abnormality can look remarkably normal, but the asymmetry is made more obvious after breast enlargement if it hasn’t been addressed. In some cases an even more abnormal shape can result with a high riding implant, a double-bubble and obvious discrepancies of nipple position.
Mr PhilipTurton
www.cosmeticbreastsurgeon.co.uk lisa.harris@nuffieldhealth.com 0113 3882193
The Cosmetic Surgery Guide 135
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