Tubular and Tuberous Breast Correction Specialist
Tuberous breasts, sometimes called tubular or constricted breasts, are breasts which fail to fully develop as a result of a congenital abnormality. DeLuca Plastic Surgery has over 28 years of experience correcting tubular and tuberous breasts.
In Dr. DeLuca’s Words
“One of the most challenging and rewarding areas of cosmetic breast surgery is the correction of tubular or tuberous breasts.
It’s challenging because such cases require a great deal of technical skill and artistic vision to achieve a beautiful result. It’s rewarding because many who have the procedure and achieve a beautiful result view it as a life-changing experience, in terms of the positive effect it has on their self-confidence, self-esteem, and quality of life.
On paper, tubular or tuberous breast correction sounds fairly straight-forward (in most cases). It’s a dual plane breast augmentation through a periareolar incision/lift with expansion of the lower pole (re: area below the nipple) and debulking of herniated nipple-areola tissue.
In the operating room, however, such maneuvers require significant skill and experience on the part of the surgeon to consistently achieve a beautiful and complication-free result in a single surgery (rather than two separate procedures).
After more than 28 years of performing tuberous breast correction surgery, my experience and training place me in the top 1% of board certified plastic surgeons. But what I believe distinguishes me most from other surgeons is the quality and consistency of my results.”
— William DeLuca, MD
What are tubular/tuberous breasts?
Tubular/tuberous breasts are some of the most common abnormalities of breast shape. They result from congenital variation in the breast tissue’s development that can affect one or both breasts. Although there is considerable variation, tubular breasts all share several common features:
- Little to no skin between the bottom edge of the nipple-areola and inframammary fold
- Narrow and elongated shape with a wide space between
- Large, puffy and/or herniated nipple-areolas
- Tendency for the inframammary fold to be relatively high on the chest, thus causing the breast to droop and look long and constricted
Types of Tuberous Breasts
Tuberous breast deformities can also be graded using the more formal Von Heimburg Classification system, which categorizes tuberous breasts based on degrees of severity. The four categories are as follows:
- Type I (Mild): The lower inner quadrant of the breast is constricted.
- Type II (Moderate): The entire lower quadrant of the breast is constricted; sufficient skin is present in the subareolar region.
- Type III (Moderate+): The entire lower quadrant of the breast is constricted; skin is deficient in the subareolar region.
- Type IV (Severe): The breast is completely constricted with an underdeveloped gland; herniation of the areola is present in more than 75% of cases.
Preparing for Correction Surgery
Before undergoing surgery, you should attend a consultation with Dr. DeLuca, as well as a preoperative visit. During the consultation, Dr. DeLuca will review your medical history and discuss the risks, benefits, and probable outcomes of the procedure. He will also walk you through what to expect during and after the surgery. The preoperative visit should take place about two weeks before the surgery, and it includes any routine lab testing or required breast imaging studies. The preoperative visit also includes sizing exercises, in which neoprene inserts of varying sizes are placed into a special bra, to help you experience how your future breasts will feel. At this time, the plastic surgeon will remind you to avoid any blood thinning medications, such as aspirin or ibuprofen.
Surgical Options for Correcting Tubular and Tuberous Breasts
To correct tuberous and tubular breasts, surgery is needed to release the constricted tissue and place the implant. In many cases, the base of the breast is widened, the areola is reduced in size, the inframammary fold is lowered and the internal constrictions that caused the tubular shape are released with internal incisions. DeLuca Plastic Surgery’s approach to correcting tuberous breasts is usually two-fold.
Initially, through a periareolar incision, the plastic surgeon performs a dual plane augmentation, which is a type of submuscular augmentation. This means that the implant will be placed under the chest muscle. Submuscular placement provides increased coverage for the implant, softens the upper pole of the breast, and maintains the implant’s long-term stability. Also during this step, the surgeon releases the tight and constricted inferior pole (re: the lower portion of the breast) with a process called radial scoring. This allows the implants to sit lower on the chest and creates a slight upward rotation of the nipple areola.
The second stage involves a circumareolar mastopexy (breast lift), which reduces the size of the nipple areolar complex and the amount of herniated subareolar tissue, which is responsible for the puffiness. This process places the nipple areola complex in a more desirable location with minimal scarring.
By using this approach, complete correction and an excellent aesthetic result can be achieved in a single operation instead of two. The periareolar incision typically heals quite well since there is not a great deal of elevation involved to cause tension. Dr. DeLuca prefers to use smooth round implants, and they do not recommend the use of an anatomic or tear dropped style prosthesis in the majority of tuberous breast cases.
Recovery And Post Procedure Care
Directly after the surgery, your breasts will be wrapped in gauze dressings and a post-surgical support bra that DeLuca Plastic Surgery will provide. The bra will minimize swelling and support the breasts as they heal. Drain tubes will also remain in place for 4-5 days.
A seven-day recovery period is recommended for those recuperating from tuberous breast surgery. As with all breast surgery, some inflammation and/or bruising may be present for up to 2 weeks following the procedure. Most patients are able to return to light exercise in 2-3 weeks and strenuous activity in 4-6 weeks after tuberous breast correction.
While you recuperate after your surgery, Dr. DeLuca and the staff at DeLuca Plastic Surgery will be available to you in order to ensure a smooth recovery. In the following weeks and months, you will have regular follow-up appointments to guarantee that you are not experiencing any post-operative complications and that your healing process is successful. Additionally, you will be given Dr. DeLuca’s personal cell phone, which you can call 24/7 with any questions or concerns.
Tubular and Tuberous Breast Correction for Out-of-Town Patients
It is often the case that women seeking tuberous breast correction look beyond their own city or state in order to secure a plastic surgeon who they feel is most able to achieve the best result possible for them.
While the reasons for choosing DeLuca Plastic Surgery vary from patient to patient, most out-of-town tuberous breast patients cite experience, skill, photos, reviews, answers on RealSelf, and/or commitment to always-available care both before and after surgery as the reasons for selecting Dr. DeLuca as their plastic surgeon.
The doctors at DeLuca Plastic Surgery are happy to offer free virtual consultations via phone, Skype, and/or email. If you have any questions about tuberous breast correction, don’t hesitate to click our ‘out-of-town’ patients button and fill out the form.
I am 28 years old and for about 10 years I have wanted to correct my tuberous breast condition, which I no longer have thanks to Dr. DeLuca! I had consultations all over the world, with about 10-12 different plastic surgeons. It was only when I posted my photos and question on RealSelf.com that I came across Dr. DeLuca. He was one of many surgeons who replied to my question, yet instantly, I felt he knew exactly what he was talking about and how to solve what I called “my breast issues”. Right away, I knew I had found “The One” – in the surgeon form that is.
While many plastic surgeons told me that my breasts would never be “perfect” and that I may require numerous surgeries to correct them, Dr. DeLuca’s straight forward and confident response led me to his website, where I found several before and after photos of woman with similar breasts to mine. This blew me away. Seeing Dr. DeLuca’s results in photos gave me great confidence that I had finally found a surgeon who knew how exactly to deal with a case like mine!
So in August of this year, I booked my ticket and hotel accommodations and flew all the way to Albany, New York for my surgery (I’m from Australia). Many people told me it was quite a long distance to fly but I knew it was worth the distance for I had finally found a surgeon who I could trust and had complete confidence in.
I am two weeks post op and I can say that I now have what I consider “perfect” breasts. Prior to my surgery, I wasn’t even aiming for perfection, I just wanted to look and feel normal. I just wanted my condition to be fixed. However, Dr. DeLuca exceeded my expectations by far. I went shopping yesterday at Victoria Secret and what a pleasure it was to be told by the shop assistance what lovely breasts I have. What a pleasure it was to fit properly into a bra.
I wish I could say that this surgery hasn’t changed my life, but I guess in many ways it has. I felt my condition held me back in so many ways before the correction. Be it in intimate relationships, in how I dressed or how I saw myself, inside I was confident, I just felt my body (breasts) didn’t reflect it. Now I have nothing to hold me back!
I want to give my sincere thanks and gratitude to Dr. DeLuca, his staff in the office and his nursing staff (who were even so sweet to ask me out for Dinner as they knew I was here alone). Thank you for allowing me to trust in you and for your superior work in correcting my tuberous breast condition.
I hope you show my before and after photos because only when people see it, will they truly believe how amazing my result is.
– Madeleine C. / Australia
Tuberous Breast Correction
(Click here to read Madeleine’s surgery diary & review on Realself.com)
Like many women who suffer from tuberous breasts, I felt as though it defined me–defined me as an inadequate woman. Without going into too much detail because many women already understand how negatively having tuberous breasts can affect every aspect of one’s life, much of my own anxiety and depression issues were wrapped up in my negative body image which was directly related to having tuberous breasts. I was ashamed and this led to me avoiding relationships–intimate or otherwise. Looking back, I realize that I was barely living, and most certainty not living for myself.
The decision to look into breast augmentation was a hard one–after all, I did not want to be judged any more than I felt I already had been because of my breasts, but I truly felt it was the right thing for me. I am so happy I followed through and attended my consultation with Dr. William DeLuca. Not only did he understand medically what was wrong with my breasts, but he understood the psychological stresses that were plaguing me. He took the time to truly understand who I was as a person in order to better counsel me on if the procedure would be a viable course of action.
I never once felt pushed or like he was “selling” me shiny new breasts. I trusted him so completely that I allowed him to make the decisions regarding the size because he took the time to understand who I am.
I must say that I have never been happier or more confident. Dr. DeLuca did a perfect job–I finally have the breasts I should have had if Mother Nature had not wanted to play a joke on me. I am completely proportioned–completely natural. My recovery was a breeze, which is a testament to Dr. DeLuca’s skill with tuberous breast correction procedures.
I HIGHLY recommend that any woman who suffers from tuberous breasts consult with Dr. DeLuca. As I quickly discovered in my research process, Dr. DeLuca’s skill with tuberous breast correction is unrivaled and his compassion is without equal. He has truly changed my life by allowing me to have a healthy relationship with myself which has led to healthier relationships in all aspects of my life.
– Stephanie / Albany, NY
Tuberous Breast Correction
My entire life I had been beyond embarrassed about the appearance of my tuberous breasts. After many years of researching plastic surgeons that specialize in this procedure, I finally came across Dr. DeLuca’s website, and decided he was the doctor I wanted to help me.
Dr. DeLuca & his staff were wonderful every step of the way. No matter how many questions I asked (a whole lot), the doctor & his staff (special shout out to 2 of his nurses, Brianne & Karen) were more than happy to answer my questions. I couldn’t be happier with my results, and trust me, that’s a lot coming from someone like me, who expects & wants nothing but the best.
I am only day 2 post op and I’m pretty much just taking Motrin for the pain at this point. I just went for my 1st post op appointment and if I could have, I would’ve hugged the doctor, but I am still a little sore.
Suffice to say, there is no question in my mind that I made the right decision in going with Dr. DeLuca.
– Lauren / Long Island, NY
Tuberous Breast Correction
Click here to read Lauren’s full review on Realself.com)