The tubular, tuberous or caprine breasts is a congenital malformation of the breast that becomes evident in adolescence during the growth of these. It is a fibrotic tissue, in the form of a ring at the base of the breast, developing a constrictor ring and "strangling" the growth of the breast, giving these anomalous forms of the tubular breast.
Is it easy to diagnose it?
With expert professionals it is very easy, but patients sometimes do not even know they have it. Currently, with the internet facility, almost 30% are self-diagnosed, saying they believe they have tubular breasts. Another 30% are unaware of it but they are saying that they have rare or very ugly breasts and do not really know that it is a congenital malformation. The rest are totally unaware of the malformation and only consult for a breast augmentation.
Are all tubular breasts the same?
No, there are three degrees. A first degree in which a defect is seen especially in the lower and internal quadrant: tend to be breasts fallen, separated, large and the areola looks down and inside. It is the most frequent and the constriction of the breast is not complete. In the second degree it already occupies the two lower quadrants of the breast, they are more deformed: the areolas are usually very large and acquire a tubular aspect or in the form of "tube", the breast groove is very high. In the third degree, the constrictor ring is complete and the breast is usually hypoplastic, small and can not develop. The association of mammary asymmetries is frequent.
What is the most appropriate treatment?
The only solution is surgical. Depending on the degree, shape and type of skin, one technique or another will be proposed. Basically, the most important thing is to "decompress" the fibrotic tissue, open that constricted breast, re-establish the normal conical shape and later generally raise breast augmentation with prosthesis.. In the cases with mammary ptosis a pexia will be made and, if there is alteration of the areola, it will be remodeled.
Is this intervention complicated?
No, it is not complicated, but it is complex and requires some experience because it is a "rebellious" malformation and in inexperienced hands can enhance the tubular effect. Many points have to be evaluated before an intervention: skin type, areola size, constriction of subareolar tissue and breast tissue, height of the breast groove, degree of herniation, degree of breast ptosis, separation of the breasts, asymmetry , etc.
Does it compensate to undergo the intervention?
Without a doubt. It is one of the most grateful interventions. They are malformations that do not resolve themselves and usually over the years the defect is more pronounced. It is important to inform the patient about the type of problem, the complexity and the possible solutions so that the expectations are as realistic as possible.. An accurate diagnosis is important to ensure successful treatment. Women who believe they have a "rare breast" should go to plastic surgeons who are experts in this type of surgery to ensure the best possible result. Finally, to influence the personal, social or sexual repercussion that this type of problems can bring and to transmit that with a correct diagnosis, an adequate treatment and a prepared surgical team excellent results can be obtained.