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woman holding breastNot every woman views breast augmentation as a means for simply achieving more volume. For some women, breast implants may offer a solution for asymmetry or help improve overall breast shape and profile. This is especially for women with tuberous breasts. Yet, some sources suggest that breast augmentation in tuberous breasts won’t deliver the best results. What’s the real story?

Understanding Breast Development

In a typical breast, fatty and glandular tissue grows outward evenly during puberty into two gently rounded, virtually symmetrical breasts. However, a tubular breast has an internal tissue constriction that forces breast growth downward rather than outward. This causes elongated breasts that point downward instead of spreading out, often with a concentrated puffiness at the nipples. Tuberous breasts are often quite small, but not always. Women may have tubular deformity on only one side or both sides, or may notice one breast is impacted more than the other.

Tubular Breasts and Augmentation

Women with tubular breasts often feel self-conscious about their appearance. Since many tuberous breasts look uneven or underdeveloped, it’s only natural that women with this concern may consider breast augmentation as a potential answer. Yet, just going bigger doesn’t address the root concern of the tubular shape and profile.

In women who pursue augmentation from surgeons who fail to incorporate additional correction of tuberous breast tissue, the final results may not be all they hoped for. Contours may look irregular, or the implants themselves may seem to be awkwardly placed. In reality, the implant placement may be perfectly fine; it’s just the way the breast tissue covers the implant that gives this impression.

There are a few techniques that may prevent this occurrence if planned for at the outset of surgery:

  • An interior release of the tissue bands that constrict the glandular tissue can be performed during implant placement. This allows the glandular breast tissue to settle more naturally and evenly across the implant for better coverage and a rounder, softer breast shape.
  • A tissue expander can be used to reshape the breast tissue prior to surgery. This adjustable, temporary implant is enlarged in small increments over the course of a few months, encouraging the breast tissue to conform to the contours of the expander. When the final adjustment is reached, the expander is replaced with real breast implants.
  • Combining a breast lift with breast implants helps reshape the existing breast tissue for a corrected profile while adding volume at the same time. A breast lift can also resize overlarge areola if desired. The end result is breasts that are larger and reflect a high, full profile rather than the distinctive tubular shape.

Experience Matters

Finally, the best breast augmentation results will be seen from cosmetic surgeons who are experienced with the nuances of tubular breasts. They should be familiar with the extra steps that need to be taken during surgery in order to achieve your ideal final profile, and should also be able to provide several examples of before and after photos that reflect a necessarily high level of skill and finesse.

The bottom line is that breast implants can certainly help resolve concerns over the appearance of tuberous breasts. However, they may not be the be-all, end-all solution in and of themselves. It’s important to keep an open mind when it comes to breast enhancement, as more than one procedure may be recommended in order to achieve beautiful, natural results even in breasts without tubular tendencies.

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