Tubular Breast Deformity Beverly Hills
Patients who present with tubular breast deformity are often very unhappy, not with just the size of their breasts, but actually with the shape. The components of a tubular breast deformity include No.1, a poorly defined inframammary fold. In other words, there is no fold along the bottom of the breast or it is not defined well. No. 2, is a flattening or blunting of the lower pole of the breast in which there is no round shape to the lower breast causing a conical or tubular shape, almost a triangular shape, on an oblique or side view. Finally, there is also a pseudo-herniation of breast tissue into the nipple areolar complex. This means that the glandular thick or fatty tissue actually pushes the nipple areolar complex out performing a protrusion that does not look pleasing to the patients.
It is highly recommended that these patients undergo augmentation mammoplasty procedure either through saline or silicone implants under the muscle with the dual plane technique if it’s a minimal tubular breast. If it’s an endomorphic thick barrel chest, then we often place the implants above the muscle or subglandular or retromammary plane. We also release along the inframammary fold in a radial striated fashion in order to round out the lower pole of the breast. We see patients with tubular breast deformity each and every week, if not several a week, who are really distraught and frustrated with not only the size of the breast, again with a conical tubular shape of the breast, which can be corrected. Now postsurgically, it is very important that patients maintain a sports bra, athletic bra for approximately six weeks. They can be fitted into the new Dr. Linder Bra which allows for support, but will not allow the inframammary fold to end up too high. We also have an upper pole compression band that pushes down on the implants and the muscle and it relaxes the implant and displaces it inferiorly so that 1) it allows rounding out of the lower portion of the breast pocket; and 2) it does not allow the implants to settle into a too superior position. In other words, the implants don’t end up too high. So, it is apparent that tubular breast deformities are significant in the population and at least two to three percent of my patients for breast augmentation will present with this. We can correct this in a useful manner that is predictable as long as the implants are placed correctly, the fold is released, there is release along the lower pole of the breast fascia and a band is used for a significant period of time in order to maintain the lowering of the position of the implants.