Tuberous breasts are a very common “anomaly of breast development” in our population.
How do I know if I have tuberous breasts?
You should know that there are different degrees of tuberous breasts, but to a greater or lesser extent we can find the following elements:
1.- Large areolas: This is due to the lack of areolar musculature and the protrusion or push that the glandular tissue exerts on it.
2.- Short lower pole of 2 or 3 cm: This means that when you take off your bra you see that the mark left on your skin is lower than the line where your breast ends. This lower pole lacks padding to give roundness to the breast in this area. Also this anatomical fact makes the breast look sagging or “hanging” on a rubber band which is the skin restriction.
3.- Narrow base breasts: This is where the name comes from, they are shaped like a “tube” to a greater or lesser degree, and this can be seen when you take a profile picture.
Asymmetry: It is quite common that they are of different sizes.
All these elements can be found to a greater or lesser degree, sometimes it is very subtle.
Why the correction with anatomical prosthesis for tuberous breasts and why high profile?
All patients who come to my office for breast augmentation want to show off a beautiful “neckline”, but you must not forget that the whole breast as a whole must be harmonious and in the case of tuberous breasts we have to work the lower pole of the same to achieve it.
We need two things: more skin and more volume to achieve width, projection and roundness. Therefore, my proposal to the problem is to place an anatomical prosthesis of extrafull projection. This is not enough because as we have mentioned there is a very important cutaneous retraction that we will solve by making radial cuts in the gland and the skin and placing a band that fixes the prosthesis forcing the position so that thanks to the elasticity properties of the skin, this yields and we get the desired shape.
On the other hand, the use of anatomical prostheses allows us to correct the “asymmetry” if it exists because we have a very important element: we have four different models of prostheses in terms of projection being of the same size in height and width. This means that although perfect symmetry is impossible, the result is very satisfactory.
The areola has to be reduced in 90% of the cases. And, of course, the upper pole and “neckline” will be perfect. In conclusion: for the correction of tuberous breasts of different degrees, my proposal is to use anatomical prostheses of cohesive gel and extrafull projection.