THE EXPERT WHEN IT COMES TO TUBEROUS BREAST CORRECTION SURGERY
No one deserves to feel uncomfortable or self-conscious in their own skin, and for many people cosmetic surgery can help to overcome this barrier. At Panthea Clinics, we specialise in a range of surgeries that achieve outstanding outcomes that meet our patients’ expectations.
WHAT ARE TUBEROUS BREASTS?
Tuberous breast is a rare congenital abnormality of the breasts caused by breast tissue not proliferating properly during puberty. During puberty, breast development is stymied and the breasts fail to develop normally and fully.
WHY CHOOSE OUR CLINIC?
Tuberous breast and asymmetry correction is one of Dr Farhadieh’s areas of special interest and expertise. He brings excellence in surgical art, and uses techniques that are innovative and modern to achieve the best results possible. As an internationally recognised plastic surgeon he has both provided expert commentary for international plastic surgery journals, as well as authored a chapter on this topic in an international plastic surgery textbook: Plastic and Reconstructive Surgery: Approaches and Techniques. With this level of expertise guiding everything he does, patients can have complete confidence in Dr Farhadieh’s ability to provide state of the art outcomes.
If you are thinking about undergoing tuberous breast correction surgery, get in touch with Panthea Clinic in either Canberra or Sydney. Our aim is to provide state of the art care for each and every patient, allowing you to feel great in your own skin once again.
THE PREOPERATIVE AND POSTOPERATIVE PROCESS
The first step in getting any surgery is an initial consultation, where your surgeon will learn more about you, what your expectations are and what is possible to achieve. In this consultation, Dr Farhadieh will thoroughly examine your medical history, discussing at length factors such as:
- History – Patients may present with either unilateral or bilateral breast deformity. This may have both a functional and psychological impact, such as difficulty wearing certain clothing or relationship issues. The patient with unilateral breast will have noticed her problem post puberty as breast development occurs. It is important to ascertain whether the patient has breastfed or plans to breastfeed and counsel then on the potential impact on breastfeeding post surgical correction.
- Examination – The breasts should be examined to ascertain the presence of bilateral or unilateral deformity. An assessment must be made as to whether or not the constricted lower pole skin can be expanded to allow primary placement of an implant to create a natural lower pole contour. A general examination of breast for masses and axillary palpation for lymphadenopathy should be performed routinely to exclude malignancy.
- Management – The principles in correcting tuberous breast are; the constricted skin envelope and malpositioned imframammary fold (IMF) should be corrected as much as possible; areolar pseudoherniation must be addressed and the areolar size reduced to normal range; and aesthetic breast volume and symmetry should be achieved.
- Constricted Skin Envelope – Correction of the right skin envelope and high IMF play a large part in the final aesthetic outcome following surgery for tuberous breasts. A constricted skin envelope will limit the final volume of the breast. Therefore a tight skin envelope will limit the size of any potential implant used to add volume to the breast. This tight skin envelope also means that the IMF is abnormally high. The constricted skin envelope in mild forms of tuberous breast can be managed with primary placement of a breast implant. However, this is a difficult to make as a persistent IMF skin crease may be the source of patient dissatisfaction and may not soften and relax with time. A tight skin envelope and high IMF can be stretched and lowered over time using a tissue expander. This can be followed at a second stage with exchange of the expander for an implant.
- Areolar Size and Pseudoherniation – Reducing the areolar size in cases with areolar pseudoherniation has the effect of evenly distributing the forces of the underlying breast tissue on the entire skin as well as adding symmetry to the breast appearance.
- Breast Volume and Symmetry – If bilateral disease exists then both breasts are treated with skin envelope expansion, lowering of the IMF, correction of areolar diameter and the addition of volume. However, many patients persist with asymmetry.
Once your surgery day arrives, your incision lines will be marked while you’re awake and you will be able to ask any remaining questions as we go through our checklist with you. Tuberous breast correction surgery is performed under general anaesthesia and patients will usually be discharged either the same day. Long-lasting local anaesthetic is injected into the surgical area, alleviating any immediate discomfort postoperatively.
The incisions are closed using absorbable sutures before being sealed with dermal glue and covered with tape. There may be some discolouration or mild swelling, however this will disappear quickly and will be completely resolved within 10-14 days. Throughout this healing time, straining, bending or lifting should be avoided and you should wear your supportive bra for at least 8 weeks. You will be able to go back to work within a few days of surgery and your breasts will find their final shape within 3 months.
YOUR PEACE OF MIND IS OUR BIGGEST PRIORITY
Although the risk profile of this surgery is low, there are some risks of complication. Dr Farhadieh will discuss these risks with you, during your consultation. With Panthea Clinics, however, you can have complete peace of mind knowing that you’re being cared for by a team of dedicated specialists.
After your initial postoperative review, we will organise a follow-up appointment at regular intervals. Your relationship with your surgeon is the most important aspect of your surgical journey, which is why we make sure that we’re guiding you through the process every step of the way.
LEARN MORE ABOUT PANTHEA
If you’ve been thinking about getting cosmetic surgery for a while now, Panthea Clinics are more than happy to guide you through the process of achieving the look you want. Committed to your peace of mind, we aim to make sure you have all the information you want and need before making your decision.
Contact our Sydney or Canberra clinic today and book your initial consultation to begin the process.
Frequently Asked Questions
There is some discomfort associated with surgery. Most patients report a ‘tightness’, rather than pain, due to the excellent pain control regime we use, which includes local anaesthetic for the immediate postoperative period as well as powerful analgesics.
The breasts will not only heal during the first 6 weeks, but will also gradually find their natural postoperative position. Gravity, healing and surgery drive this process. The final shape is usually reached by 3 months. The incision scars will fade over the first 12 months and will often be barely visible beyond the first year.
Within 2 weeks you will be back at work and able to resume most normal activities. During the subsequent weeks you will return to your pre-surgery levels of activity. We have a postoperative regime to help you through this time.
Your scars are routinely placed under the breast fold, hidden from view. Not only do bras or swimwear hide the scar, in time it will fade and be barely perceptible. Dr Farhadieh commonly uses a short scar mastopexy approach, which entails an incision around the nipple and extending down the breast vertically.
Dr Farhadieh believes that the relationship between doctor and patient is sacred and privileged. Our practice is based on compassion, honesty, transparency and, above all, patient welfare. We pride ourselves on making sure that you feel supported at all times. We will be available during each stage of your journey and will schedule short-, medium- and long-term follow-up appointments as part of our overall practice.