Dr. Darren Smith is a Board Certified Plastic Surgeon serving New York City and the surrounding areas. He has worked extensively with patients experiencing breast asymmetry and abnormalities to help correct, reshape, and enhance the appearance of the breast.Dr. Darren Smith, MD, FACS
Tuberous Breast Surgery in NYC
Tuberous breast deformities will often arise during puberty. Tubular breasts can range from very mild asymmetries to more severe deformities. Silicone or saline breast implants alone typically will not correct the shape of a tubular breast.
Dr. Darren Smith is a Board Certified Plastic Surgeon serving New York City and the surrounding areas. He has worked extensively with patients experiencing breast asymmetry and abnormalities to help correct, reshape, and enhance the appearance of the breast.
What Causes Tuberous Breasts?
A genetic connective tissue malformation generally causes tuberous breasts or tubular breasts. The abnormality interferes with breast development during puberty and can affect one or both breasts.
Tubular breasts are usually asymmetric and can have a dense fibrous ring around the areola (enlarged and protuberant nipples), hernia bulging of the areola, narrow-based breasts, wide cleavage, or ill-defined lower breast poles.
What Happens During Tuberous Breast Surgery?
Tuberous breast surgery is done using general anesthesia, meaning you will be asleep throughout the procedure. The surgery takes anywhere from 1.5 to 3 hours to complete, depending on the extent and complexity of your case.
Dr. Smith makes a conscious effort to use limited incisions and minimize scarring while achieving the best breast shape and size. He will typically make an incision around the areola (periareolar incision) to make one or more of the following corrections to the breast.
- Lower the breast crease
- Lengthen the distance from the breast crease to the nipple
- Reduce and reshape large areolas
- Release constricting fibrous bands in the lower portion of the breast
- Insert a silicone or saline breast implant to provide the desired fullness
- Perform a breast lift or breast reduction
Immediately following surgery, you’ll be moved to a recovery suite, where our medical staff will monitor you for a short period before being released. Most patients receive a soft, supportive surgical bra or a compression garment to help aid in the recovery process.
Good Candidates for Tuberous Breast Reconstruction Surgery
If you are self-conscious about the natural shape of your breasts, breast reconstruction surgery may be your best option to balance your breasts with your body shape. In general, ideal candidates for any plastic surgery should be in good overall health. The first step of your tuberous breast surgery is a consultation in our NYC office, where Dr. Smith will determine if surgery is the best option. The degree of the tuberous morphology, your skin quality, and any preexisting medical conditions contribute to determining the best procedure for a given case.
Patients experiencing breast deformities, including the following symptoms, may benefit from tuberous breast surgery with Dr. Smith.
- You have a lack of fullness in the lower portion of your breast
- Your breast shape is elongated and cylindrical
- Your breasts are widely set apart
- You have a constricted breast base
- Your breasts have a high inframammary fold
- You have oversized, puffy areolas
- You have mild to more severe parenchymal maldistribution
- You have persistent flatness due to a lack of breast tissue
Depending on your unique case, Dr. Smith will recommend a personalized surgical plan to help reshape your breasts.
Recovery from Tuberous Breast Surgery
You will have small tape dressings on your incisions when you leave the clinic. Dr. Smith will give you clear aftercare instructions and prescriptions for pain management. Tuberous breast surgery is mildly uncomfortable for most patients and this discomfort is easily managed with light pain medication.
For the first 24 to 48 hours post-op, it may be uncomfortable to lift your arms over your head, and you may need assistance with personal activities like dressing. Swelling and bruising are common and should subside within a week or two. We strongly recommend having someone stay with you for 24 hours after your procedure.
In general, tuberous breast surgery patients are ready to return to work or school around one week after surgery. However, heavy physical activity is limited for two weeks in most cases. Patients must refrain from strenuous exercise until cleared by Dr. Smith.
Choosing Dr. Smith for Tuberous Breast Surgery in NYC
Dr. Smith specializes in aesthetic and reconstructive surgery of the breast. Tuberous breast surgery is a highly personalized procedure, and you will be part of every decision made during the process.
If you’d like to learn more about tuberous breast surgery and whether it is right for you, please call our office to schedule an appointment.