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Asymmetric Tubular Breasts

  • Asymmetric Tubular Breasts
  • Asymmetric Tubular Breasts

Description of disability:

Tuberous breasts (or tubular breasts) are a result of a congenital abnormality of the breasts which can occur in both men and women, one breast or both. During puberty breast development is stymied and the breasts fail to develop normally and fully. The condition is thought to affect one to five per cent of breast augmentation patients.

Tuberous breasts are not simply small or underdeveloped breasts. The effect of the condition on the appearance of the breast can range from mild to severe, and typical characteristics include: enlarged, puffy areola, unusually wide spacing between the breasts, minimal breast tissue, sagging, higher than normal breast fold, and narrow base at the chest wall. The condition can affect the ability of women to breastfeed as in some cases the breasts, including the milk glands, have not developed enough to produce breast milk


The appearance of tuberous breasts can potentially be changed through surgical procedures, including the tissue expansion method and breast implants.

A variety of options are available. Tissue expansion is used to break the constriction and expand the skin to accommodate an implant. Mastopexy techniques are used to correct the ptosis if present. 

In this case the right breast skin was expanded with a tissue expander and a silicon implant inserted. As the patient did not wish to have any visible scars, the left breast was minimally modified through the areola. The right breast expander and implant were placed through the right arm pit.  

Post operative care: 

Usually the patient is discharged home when fully awake and comfortable approximately 1 to 2 hours after the completion of surgery. She can return to work or studies after seven days postop. She will be instructed on how to perform implant displacement exercises at 7 day follow-up visit. For two week a standard sports bra is worn. Normal bras may be worn after approximately two weeks. Breasts may appear firm and swollen for the first seven days, generally subsiding by 14 days, with shape and size settling into final position by 12 weeks.


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