Tuberous breasts are an "anomaly of breast development" very common in our population.
How to know if I have tuberous breasts?
You should know that there are different degrees of tuberous breasts, but to a greater or lesser extent we can find the following elements:
1.- Large Areolas : It is due to the lack of areolar musculature and to the protrusion or push that the glandular tissue exerts on it.
2.- Short bottom pole of 2 or 3 cm: This means that when you take off the bra you see that the mark that leaves on your skin is lower than the line where your breast ends. Missing fill this lower pole to give roundness to the chest in this area. Also this anatomical fact makes the breast appear to fall or "hanging" on a rubber that is the cutaneous restriction.
3.- Narrow base mamas : This is where the name comes from, they have a "tube" shape to a greater or lesser degree, and this can be seen when you take a profile picture.
4.- Asymmetry : It is quite frequent that they are of different sizes.
All these elements can be found to a greater or lesser degree, sometimes it is very subtle.
Why correction with anatomical prostheses for tuberous breasts and why high profile?
All patients who come to my office to have breast augmentation , want to show off a beautiful "neckline", but you must not forget that the whole breast must be harmonious and in the case that concerns us tuberous breasts we have to work the lower pole of it to achieve it.
We need two things: more skin and more volume to achieve width, projection and roundness. Therefore, my proposal to the problem is to place an anatomical prosthesis with extrafull projection. This is not enough because, as we have said, there is a very important cutaneous retraction that we will solve by making radial cuts in the gland and the skin and placing a band that fixes the prosthesis, forcing the position so that thanks to the elastic properties of the skin, this yield and we get the desired shape.
On the other hand the use of anatomical prostheses allows us to correct the "asymmetry" if it exists because we have a very important element: we have four different prosthesis models in terms of the projection, being the same in height and width. This means that while perfect symmetry is impossible, the result is very satisfactory.
The areola has to be reduced in 90% of cases. And, of course, the upper pole and "the neckline" will be perfect. In conclusion: for the correction of tuberous breasts of different degrees, my proposal is to use anatomical cohesive gel prostheses and extrafull projection.