Breast Procedures

Tuberous Breast
Correction Surgery

Researching the plastic surgeons in Sydney can be a timely process before women choose to undergo tuberous breast correction surgery. Dr Tavakoli and his team provide support throughout the surgical journey. Whatever your reasons are for considering breast surgery in Sydney, Dr. Tavakoli works with you to understand your desires and expectations.

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DR TAVAKOLI HAS EXPERIENCE IN TUBEROUS BREAST CORRECTION IN SYDNEY

Dr Tavakoli has performed over 6000 breast procedures and has developed widespread knowledge and experience in tuberous breast correction.

An avid conductor of the camouflage technique in mild to moderate tuberous breasts and ‘tuberomastoplasty’ technique for severe cases, Dr Tavakoli has lectured on these methods both locally and internationally.

Tuberous breast deformity is a congenital condition which can affect 1 in 20 women. Tuberous breasts occur when the breast tissue does not completely develop during puberty. This results in a distinctive breast shape and can create severe breast asymmetry. The Tuberous condition affects young women in both breasts or seldom unilaterally.

Tuberous breasts develop in an unusual shape and in 90% of cases, involve some degree of asymmetry in size. Characteristics of tuberous breasts include enlarged areola, excessively wide cleavage, deficient breast tissue, particularly in the lower breast pole and a short breast fold (distance between the nipple and breast crease). These characteristics can present in varying degrees but will often result in a narrow, constricted, tubular appearance of the breast. Pregnancy or rapid weight loss can convert mild tuberous breasts to severely tuberous breasts.

Tuberous Breast Correction

Before & After Gallery

Disclaimer: The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.

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Dr Tavakoli’s approach to Tuberous Breasts

Identification of tuberous breasts is essential for the best outcome for the patient. In many cases, patients with mild tuberous breasts present for a breast augmentation (mammoplasty) without being aware they have this condition. Untreated patients who undergo implant augmentation mammoplasty will often simply see an exaggeration of the deformity.

There are many degrees and variations when it comes to tuberous breast and in reality, the spectrum of tuberousness is vast and cannot easily be clarified according to a stringent set of criteria.

In Dr Tavakoli’s practice, tuberous breasts correction is thought of as a regional anatomical treatment.

Anatomical Considerations

  • 1. Inframmamary Fold (IMF): Short nipple to IMF distance
  • 2. Lower breast pole: Deficient breast tissue in lower pole
  • 3. Nipple Areola Complex (NAC): Nipple protrusion, herniation, areolar size
  • 4. Ptosis: Degree of breast laxity if present

The surgical correction of tuberous breast deformity is quite complex. Treatment options must be presented with emphasis on improvement and not achieving “perfection”.

Dr Tavakoli uses a number of different techniques to correct Tuberous Breasts including the following:

  • 1. Fat Grafting only
  • 2. Fat Grafting with Implants (Camouflage technique)
  • 3. Tuberomastoplasty with Benelli Breast Lift (mastopexy), Fat Grafting and Implants
  • 4. "Lollypop” Breast Lift (mastopexy) plus Fat Grafting with Implants

Camouflage technique

The surgical plan for the treatment of tuberous breasts will take into consideration the degree and combination of tuberous characteristics, age and importantly, patient expectation.

The camouflage technique, involves a combination of minimally invasive techniques, nano and macro fat grafting and implant augmentation. Additionally, internal scoring of the breast tissue, release of tuberous bands and effacement flap technique are performed after the implant pocket has been dissected.

Tuberomastoplasty Technique:

In more severe cases of tuberous breasts, or moderate cases that combine multiple regional elements of tuberousness, a more invasive surgical correction may be required.

Dr Tavakoli performs a method of tuberous correction which involves the creation of a tuberopexy flap.

First an incision is made around the nipple and the tuberous tissue is removed. A flap is then fashioned out of the breast tissue and sutured down to alter the breast contour, at the same time creating some thickness in the deficient lower pole.

This technique may or may not be performed at the same time as a breast augmentation (mammoplasty) . The decision to combine the procedure or stage it over two operations is decided on between Dr Tavakoli and the patient during the consultation.

Breast Augmentation Mammoplasty FAQ’s

How does Dr Tavakoli endeavour to achieve results?

A well-augmented breast has fullness and a soft sloping upper pole. There should not be webbing between the breasts and only a certain amount of elevation.

There are three main signs of overdone breast augmentation mammoplasties:
1. Breast implant margin: This should be soft and imperceptible;
2. Elevation: An augmented breast that is too elevated will tend to look fake; as a small amount of downward sloping is more subtle. When a patient lies on her back, the breast implants should roll to the side like natural breast tissue and not sit up like rigid peaks.
3. Breast implants size: An implant that is too large for a small frame is usually an obvious indication that a patient has had a breast augmentation mammoplasty surgery.
NOTE: Women wanting to go from an A cup to a full D cup need to have an understanding of skin quality and restrictions. i.e – collagen loss, laxity, weight loss and/or pregnancy.

Will the incisions be visible?

There are three choices about where to make the skin incisions for breast augmentation mammoplasty surgery. They can be in the breast fold (inframammary), around the nipple (periareolar) or underneath the armpit (transaxillary). These incisions can all produce scarring ranging from excellent to poor. Although patients may voice some initial concerns about the location of their scars, they are ultimately far more concerned with the final shape and size of their breasts. In fact the rate of scar revision for unsatisfactory scarring in Breast Augmentation Mammoplasty is less than 0.05%.

Generally, a majority of patients in my practice opt for the inframammary incision (breast fold). I also find this incision has the least amount of interference with breastfeeding and nipple sensation and it generally heals well.

I find the periareolar incision particularly useful in some Asian and African patients with higher risk of keloid scarring but the nipple-areola must be at least 4.0 cm in diameter. Furthermore, the periareolar incision also allows one to perform the full Benelli mastopexy or nipple lift where this may be indicated in mildly ptotic breasts.

Transaxillary (armpit) incision carries high risk of cleavage problems (too much gap) and is reserved for a few select patients with small chest wall. The transumbilical (belly button) incision popularised by the Fox reality show Dr 90210, is ONLY reserved for the use of saline implants. As I am not a huge fan of breast augmentation mammoplasty with saline implants due to extremely high risk of problematic “rippling”. I do not personally favour the “belly button” incision.

Will you use anaesthesia during the operation?

A general anaesthetic is used when the breast implant is placed under the pectoral muscle. Dr Tavakoli works with a group of registered anaesthetists that perform both general and “twilight-sedation” anaesthesia. Dr Tavakoli only operates at fully accredited operating facilities where the administration of both types of anaesthesia is permitted.

General anaesthesia provides the best operating conditions for breast augmentation mammoplasty surgery. In order to perform this surgery properly muscles in the patient’s body have to be fully relaxed and most importantly the patient must be completely still. These conditions cannot be achieved under sedation or “twilight sedation”.

Surgery under sedation is uncomfortable and often painful. Under sedation patients may still be awake, but may not remember things. Any unexpected movement that the patient makes under sedation may be dangerous.

What is the lifespan of breast implants?

The lifespan of breast implants depends on the quality of the procedure and the implant itself. In today’s standard, breast implants are well-manufactured and highly durable, resulting in higher reliability and lesser risk of complications such as capsular contracture or rupture than in the past.

A breast augmenation mammoplasty, in general, can last for well over 10 years without needing another surgery or removal. However, different factors may influence the quality of your breast surgery, such as unexpected trauma or injury to the chest muscle. In addition, ageing can also affect breast size or breast volume. Hence you may need to follow up with your doctor yearly for a consultation.

If you are unhappy with the implant augmentation mammoplasty results or have changed your mind over the years, you can always have breast revision surgery. You can always choose new sizes and shapes for your new breast implants.

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