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What are Tubular Breasts?
Tubular breasts are typically longer and more narrow shaped breast with a nipple and areola area that may look pointed, puffy and seems to point downward or is too close to the breast crease. Women with tubular breast deformity are commonly embarrassed and unhappy with the shape and asymmetry of their breasts.
Tubular breast syndrome develops during puberty and does not improve over time, with weight gain or loss. Sometimes your pediatrician may recognize that you have a tubular breast and refer you to a plastic surgeon for evaluation. It is not considered an inherited condition, and most times a mother will come in with her daughter who has asymmetrically shaped breasts and have no prior knowledge that this existed or was of concern to their daughter.
Tubular breasts may contribute to clothing that doesn’t look good, difficulty wearing swimwear, and bras don’t fit right and are uncomfortable. Young women, especially, realize their breasts are “different” which causes them embarrassment and sometimes peer ridicule.
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Tubular breasts are typically small, asymmetric, not round, tight, constricted (meaning the base of the breast where it attaches to your chest is similar to the end) and the skin between the nipple and crease is short or tight. The nipple is often close to the crease, the areola may be “puffy” and seem too large for the breast, and there is almost always asymmetry. This condition is NOT associated with a health risk.
The breasts may develop as tubular during puberty and become more pronounced later in life following pregnancy, breast-feeding, or weight changes. Regardless of when tubular breasts develop…women of all ages and stages come to Dr. Rudderman seeking options to correct this unwelcome condition and to create breasts that look normal, healthy, and are aesthetically pleasing.
Dr. Rudderman understands your concerns and is sensitive to your needs. He offers only safe and reliable options, with predictable outcomes, to achieve normal balance, enhanced self-esteem, and a pleasing appearance.
How Women Benefit from Tubular Breast Correction Surgery
There are several procedures to treat tubular breast condition and restore or create symmetry and a pleasing shape. They can achieve the following:
- Tubular breast correction changes the shape from tight to round
- The nipple and areolar shape becomes flatter and less projected
- Tubular breast correction repositions the nipple to center it
- Tubular breast surgery corrects asymmetry and creates balance
- Breast augmentation improves volume and contour
- Bras, bathing suits, and sundresses fit better after corrective surgery
- Tubular breast correction eliminates embarrassing situations and reduces feelings of low self-confidence
- Results are visible immediately and keep improving over time
Dr. Rudderman is a board-certified reconstructive plastic surgeon. He has performed hundreds of corrective surgeries for tubular breast and has done so with minimal scarring and wonderful, natural-looking results.
Good Candidates for Corrective Surgery
Do you have one or more of the following concerns?
- Long and/or tubular shape looking breasts
- Nipple and areola area that is puffy, prominent, and points downward
- Breasts that never filled out correctly
- Your breasts are not balanced causing asymmetry
- Nipples and areolas that look significantly different from each other
- You don’t like your breasts because they don’t look normal in shape
- Clothing doesn’t fit right due to irregular breast contour and balance
- You feel self-conscious and embarrassed about your appearance
If you answered yes to one or more of these concerns, you could be an ideal candidate for corrective surgery.
What to Expect With Tubular Breast Correction Surgery
Dr. Rudderman believes the consultation is critical for you and him. You will discuss your concerns, your options, family history, goals for now and in the future, lifestyle, and much more. From the consultation evolves a sense of trust, respect, mutual understanding, and a correctly personalized treatment plan. After your first consultation with Dr. Rudderman, you will realize that there truly is a difference in how surgeons approach their profession. For Dr. Rudderman that difference means understanding your desires and goals while providing a level of service that places safety and comfort alongside predictable and pleasing outcomes.
An important first step in the treatment process is a careful examination to determine if your breast is “tubular” and to what degree. This means the evaluation of symmetry, skin volume, breast volume, nipple and areolar position, crease position, chest wall symmetry, and development history. The discussion then is directed to your desire for change and consideration of the best approach for a long term outcome, meaning a breast that looks as normal as possible, and “ages” naturally. So that as your weight changes, and hormonal changes occur over time, you have the best chance of your breast remaining “normal” for age.
The surgery most commonly involves elevation of the skin through incisions that may resemble a breast lift and then repositioning of the glandular tissue with skin redraping to stabilize and improve appearance. There are cases where increased volume may be considered, and this will be balanced with long term expectations and may be performed with a secondary operation. Volume increase, if needed, may be accomplished with fat grafting or implant for greater change depending on desires. Most often, no additional volume is either needed or recommended when the operation is performed.
The surgery takes 1 ½ to 2 ½ hours, is outpatient, and may require a drain for 24 hours. You can usually drive in 3 days, return to work or school in 4 days, exercise in 3 weeks, and swim and go to the beach in 1 month. Once performed, your breast will “age” way more natural and you may never desire or need additional breast surgery.
These treatments are not an emergency, and plenty of time will be allowed to have a full conversation to consider options. Additional visits can be provided until you feel confident that you are making the best decision for yourself in health, safety, and outcome.
Dr. Rudderman has done hundreds of breast surgeries and can project your likely outcomes. From the consultation evolves…trust, respect, mutual understanding and a personalized treatment plan.
After your first consultation with Dr. Rudderman, you will realize that there truly is a difference in how surgeons approach their profession. For Dr. Rudderman…that difference means understanding your goals and providing a level of service that places safety & comfort alongside predictable and pleasing outcomes.
Contact us at 678.566.7200 to meet with Dr. Rudderman in our Alpharetta or Midtown Atlanta offices.
Written and reviewed by:
This article was written by Dr. Randy Rudderman, who is board certified by the American Board of Plastic and Reconstructive Surgery (1994). He practices medicine at his offices in Alpharetta and Atlanta. Learn more about Dr. Rudderman, his medical training, and credentials.
What to Expect After Surgery
- You will wake up with a small dressing over the treated area and a surgical bra –
- Mild swelling, & some discomfort is normal & to be expected – this resolves on its own and often requires some pain medication for 24 hours then only acetaminophen
- You will be seen in the office 24 hours post-surgery and given a more comfortable bra
- Swelling generally is mild and resolves in 2-3 weeks
- Sutures are absorbable and do not need to be removed
- You will have a type of brown paper tape on the incisions to protect the area and help with minimal scar formation
- You may have a drain tube placed depending on the specific operation performed, that needs to be checked several times a day, and we will speak with you daily during business hours to follow your progress and determine when to return to have drains removed.
- Most patients have drains removed in 1-2 days.
- Most patients who have surgery on Thursday can return to desk work Monday.
- Avoid strenuous activity for 3 weeks…Dr. Rudderman will tell you when you can start to exercise again
- Measurable results are typically visible immediately…but be patient…healing and stabilizing takes time. It can take months for the “new you” to be clearly seen.
The results of this procedure are long-lasting. A good follow-up plan is necessary. Additional surgery to further improve appearance may be considered if a change in volume is desired in the future. All breast need good long term follow-up for evaluation of breast disease by your practitioner of choice.
Tubular Breast Correction Frequently Asked Questions
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