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Tuberous Breast Deformity Patients

Tuberous Breast Deformity Correction

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This 20 year old patient from England had concerns about her tuberous breasts for many years.  She was very uncomfortable with the size and shape of her breasts.  She was told that she had “constricted” breasts also referred to as “tuberous” breasts, or  “tubular” breasts.  She researched for the best plastic surgeon to achieve her goals with breast augmentation and tuberous breast correction and found Dr. Pousti.

tuberous breast

correction of constricted breast

The patient decided that it was important for her to have the most experienced plastic surgeon she could find to help her with her tuberous breasts and so she decided to fly in for surgery.

silicone implants

Markings and measurements are performed prior to surgery and the procedure is discussed in detail. The “smiley face” indicates the larger breast (most patients have some breast asymmetry).

areola reduction

In the photos, you can see the tissue that was removed from the breast / areola area to reduce the areola puffiness.

breast augmentation

constricted breasts

tuberous breasts

The patient had breast augmentation with areola reduction  / tuberous breast correction with  590cc silicone gel breast implants.

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Posted in Areola Reduction, Benelli Lift, Tuberous Breast Deformity


Tuberous Breast Correction

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This 31 year old traveled from Northern California to have Dr. Pousti perform her breast augmentation surgery. She was not happy with the size and shape of her breasts (tuberous breasts) and did not like how large and puffy her areola were.

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After evaluation, it was determined that breast implants as well as benelli breast lift would be necessary to address the size and “puffiness” of the areola as well as nipple/areola placement on the breast mound.

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The night prior to surgery, Dr. Pousti performs measurements and markings that will serve as a road map during the procedure.  As he is measuring the patient, he is discussing the surgery and the potential risks/ complications of the surgery as well.

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As you can see, there is some breast asymmetry that will also be addressed during the procedure.  Dr. Pousti cannot promise “perfect symmetry” but will have a nice improvement.  The right breast is larger and lower than the left breast.

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The incision is made around the areola and extra tissue is removed to address the “puffiness”.  The size of the areola is also reduced during this surgery.

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Above you see the tissue removed from the right and left breast / again seeing the asymmetry between the 2.

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Above photos show the patient after tuberous breast correction with benelli breast lift and Ultra High Profile silicone gel breast implants (480cc on the right and 535cc on the left).  As the breast incisions heal, they will flatten / smoothen out and blend in with the areola.

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Posted in Areola Reduction, Benelli Lift, Limited Lift (Benelli Lift), Tuberous Breast Deformity


Benelli Breast Lifting to Address Tuberous Breasts

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31 year old patient from Lakeside, California had been thinking about breast enhancement surgery for many years.  She enjoys working out and so wanted to make her body more “proportional” with surgery.

silicone implants

She researched for the most experienced breast surgeon and found Dr. Pousti. After the consultation, she was confident in his experience and recommendation.  Dr. Pousti discussed the benelli breast lift with the patient to “lift” her nipple/areola complexes as well as internal pocket dissection to address her tuberous breasts.

breast lift

Silicone gel breast implants were recommended because the patient has very little body fat or breast tissue.

bilateral mastopexy

The “lines” on the lower pole of the breasts show where the pocket was dissected to achieve a more “rounded” shape.

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lift

The patient had 400cc HP Silicone gel breast implants placed in addition to the benelli breast lift. She is very pleased with the initial results of surgery.

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Posted in Benelli Lift, Breast Lift with Implants, Tuberous Breast Deformity


Breast Augmentation with Benelli Breast Lift for Tuberous Breast Correction

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This 26 year old patient was interested in correcting her tuberous breasts (wanted to increase breast size as well as shape).  Tuberous breasts are also known as constricted breasts. This deformity is usually distinguished by deficiency of breast tissue and skin, rupture of breast tissue around the areola and constriction of the breast base. This deformity is generally classified into three categories; minor constriction, consisting of noticeable differences in the size and shape of the breasts; moderate constriction, consisting of a more significant lack of breast tissue as well as differences in size and shape of breast; and severe constriction, consisting of major deficiency of breast tissue and severe abnormalities of the shape and size of the breast.

silicone gel implants

She started researching and asking her friends, and was referred to Dr. Tom Pousti for breast enhancement surgery. Although this is a challenging deformity, it is possible to improve and repair through procedures such as breast augmentation, mastopexy and tissue expansion. Dr. Pousti does what is possible to achieve symmetry and take into account the patient’s wishes and desired outcome of the shape and size of the breast.

constricted breast

The patients’ goals as well as the procedure to improve her breast size and also to”round out” the breast shape was discussed prior to surgery and reviewed again the morning of surgery.

bilateral breast augmentation

Markings and measurements were taken to proceed with breast augmentation with benelli breast lift (incision around areola).

lift

mastopexy

Mentor high profile 325cc silicone gel breast implants were placed on each side. The patient is very happy with the early results of her surgery.

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Posted in Benelli Lift, Breast Lift with Implants, Breast Procedures, Limited Lift (Benelli Lift), Tuberous Breast Deformity


Correction of Tuberous / Constricted Breasts

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This 26 year old patient from San Diego County had been thinking about breast enhancement surgery for many years.

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She did not like the size and shape of her breasts (constricted) and did not like how large her areola were.  She wanted to reduce the size of her areola at the same time as increasing her breast size.

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She searched for the best plastic surgeon to help her with her constricted / tuberous breasts and found Dr. Pousti.

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Dr. Pousti agreed that breast augmentation as well as the benelli breast lift and internal pocket work to “round out” the breasts would address the constricted / asymmetric breasts and achieve the patients goals.

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Above photos show the beautiful improvement of the size / shape of the breasts.   Mentor high profile silicone gel breast implants were used. 450cc right 425cc left. The patient is pleased with the early results of her surgery.

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Posted in Benelli Lift, Breast Lift with Implants, Breast Procedures, Limited Lift (Benelli Lift), Tuberous Breast Deformity


Breast Implants for Constricted Breasts

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This 28 year old from San Diego was interested in breast augmentation surgery to address her constricted breasts for over 3 years.  After doing online research, she was very pleased with Dr. Pousti’s experience and when she spoke with her friends, they had also had surgery performed by Dr. Pousti so she came in for an in person evaluation.

breast augmentation

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After examination, Dr. Pousti stated that she would be a good candidate for breast implants and to increase breast size and to improve her breast shape as well.

implants

 

For patients who undergo silicone gel breast augmentation, the Keller funnel will be used.  This Keller Funnel allows for a “no touch technique” to get the silicone gel breast implant in place with less trauma to the area as well as allowing for a smaller incision for insertion.

 

breats surgery

 

 

breast procedure

She received mentor 550cc HP silicone gel breast implants and is currently recovering. She is pleased with the initial results of her surgery. She understands that it will take months to see the final results.

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Posted in Breast Augmentation, Silicone Gel Implants, Tuberous Breast Deformity


Tuberous Breast And Breast Augmentation Surgery

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This 29 year old patient from Minnesota flew in to have her breast augmentation procedure performed by Dr. Pousti. She desired more cleavage and fullness in her breasts, but more importantly than that, she desired to correct her tuberous breasts. Tuberous breasts are a deformity existing since birth. Tuberous breasts are also known as snoopy deformities, and constricted breasts. This deformity is usually distinguished by deficiency of breast tissue and skin, rupture of breast tissue around the areola and constriction of the breast base. This deformity is generally classified into three categories; minor constriction, consisting of noticeable differences in the size and shape of the breasts; moderate constriction, consisting of a more significant lack of breast tissue as well as differences in size and shape of breast; and severe constriction, consisting of major deficiency of breast tissue and severe abnormalities of the shape and size of the breast. Although this is a challenging deformity, it is possible to improve and repair through procedures such as breast augmentation, mastopexy and tissue expansion. Dr. Pousti does what is possible to achieve symmetry and take into account the patient’s wishes and desired outcome of the shape and size of the breast. Tuberous Breasts have a very narrow base and usually a long skin envelope. In the most severe cases of Tuberous Breast, a breast lift can be done through an incision around the areola, making the breast into a more rounded shape that the patient will be happy with. The patient should be aware that the final result will take months to see and that they will need to be patient.Before tuberous breast corerection and breast augmentation

She found Dr. Pousti online while researching for a doctor that could help her achieve her goals through breast reconstruction. After communicating with Dr. Pousti through email, she decided to fly in for her procedure.

side view before tuberous breast corerection and breast augmentation
The markings for her surgery were performed the morning of the procedure. Dr. Pousti draws out his measurements and discusses the process again with the patient to ensure their clear in communicating their goals.

markings for tuberous breast corerection and breast augmentation

The excess tissue beneath the nipple areola complex is removed.

tuberous breast corerection and breast augmentation

tissue removal for tuberous breast corerection and breast augmentation

A sizer is used to determine what implant would help best achieve what the patient desires.

sizer for tuberous breast corerection and breast augmentation

The patient is shown immediately post surgery with bilateral 465cc high profile silicone gel breast implants.

after tuberous breast corerection and breast augmentation

The tape around the areola will remain in place for as long as possible to ensure that the patient sees the best possible healing results.

before and after tuberous breast corerection and breast augmentation

Testimonial:

I cannot express my gratitude enough for Dr. Pousti and the entire staff. I found Dr Pousti online while researching my tuberous breast deformity. I didn’t even realize that I had tuberous breast until I had my baby and could not breast feed. I always just thought that I had small misshapen breast. It has been the culprit of most of my insecurities and confidence since puberty. I am from Minnesota, yet was able to visit Dr Pousti while visiting a friend in San Diego, and after one meeting I knew I wanted my tuberous breast corrected. Dr Pousti was so personable, and caring. He gave me all the information I needed, and took a lot of time answering my questions giving me all the reassurance I needed…I made the decision that day.

One week before my 30th birthday I traveled from Minnesota for my surgery. I was so impressed with the organization of Dr. Pousti’s team. We did the pre-op appointment by phone, and handled scheduling the entire itinerary for my week in San Diego for my surgery. They even recommended a nurse to me for the aftercare of my surgery. I flew in on a Sunday, had pre-op physical appointment on Monday, surgery on Tuesday, and post-op on Friday, and then flew back to Minnesota on Saturday. Everything went so smooth. My prescriptions I needed were handled the day before surgery, my aftercare nurse was well-known by the surgery center, and I was completely at ease even though I was thousands of miles away from home and on my own.

On surgery day, I was absolutely confident that Dr. Pousti was going to give me the breasts I have always wanted. It was so interesting to me how the typical numbers and letters related to describing size and shape of breasts are really misleading. Dr Pousti had me send goal pictures for the size and look I was going for. I met with Dr Pousti right before surgery we visited went over my goals, and was ready for surgery! The nurses at the surgery center were amazing, and took such great personal care and attention. Even though I had no friends or family with me on surgery day I felt completely comfortable, and well taken care of.

The at-home nurse was at the surgery center waiting to pick me up and bring me to where I would stay for recovery while in San Diego. She got me settled in, and helped make sure everything was at arm height so I didn’t have to reach for anything; she also got my medications in order. The next morning I called the office, because I wanted to know what the size we went with to give me the look I was going for. I ended up being a D cup from an A-, and the implant size was 465 cc’s silicone-gel. It just amazed me at how the numbers and letters sound big, yet the breast look perfectly proportionate to my body. I had complete trust in Dr Pousti, and am thrilled at the results!

The follow-up with the staff with Dr Pousti is amazing! Someone calls everyday checking in and is knowledgeable to answer any questions during recovery…and I had a ton, but every call I was reassured, and they were so patient with me.

I am so happy with my results, my insecurities are completely gone and I feel like these are the breasts I was meant to have. It is fun to shop, and pick out items that actually require cleavage! Thank you, thank you, thank you!!!

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Posted in Benelli Lift, Breast Augmentation, Breast Lift, Breast Procedures, Tuberous Breast Deformity


Asymmetrical Constricted Breast Augmentation

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This 23 year old patient from La Jolla, California, with an athletic body build was interested in breast augmentation surgery to correct her breast asymmetry and condition known as tuberous breast deformity. Breast asymmetry is a condition where one breast is noticeably larger than the other. Patients may start with different sized breasts before surgery (most patients are not perfectly symmetrical). Some cases of breast asymmetry are more severe than others, but there are several surgical options to promote better symmetry. Different types of implants may be used, different volumes may be used to fill up the breast implants, or changes in the pocket dissection may be used to help achieve as much symmetry as possible. Dr. Pousti takes his time in the operating room to make sure he achieves the patient’s goals. Dr. Pousti will determine which procedure will benefit each individual patient based on her concerns. The tuberous breasts deformity is when breasts have a very narrow base and usually a long skin envelope.

before breast augmentation and correction of constricted breasts

The patient found double board certified plastic surgeon, Dr. Pousti, while researching online for someone who was skilled in breast reconstruction.

side view before breast augmentation and correction of constricted breasts

The marking were performed on the morning of surgery and the patient had the opportunity to discuss the procedure again in detail with Dr. Pousti.

markings for breast augmentation and correction of constricted breasts

The patient is shown immediately after surgery and has 465cc (left) and 435cc (right) high profile silicone gel breast implants.

breast augmentation and correction of constricted breasts

breast enhancement and correction of constricted breasts

Below, the patient is shown 3 days post surgery and has already seen a dramatic improvement.

after breast augmentation and correction of constricted breasts

side view after breast augmentation and correction of constricted breasts

Patient Testimonial:

I want to preface my review by saying that if you are looking for an exceptionally well-qualified plastic surgeon who truly cares about his patients then you should schedule a consultation with Dr. Pousti.

I am 5’11” 140 lb. graduate school student with size A asymmetric Tuberous Breast Deformity (constricted breasts). The asymmetry and shape of my breasts made me so self-conscious that, despite being a serious athlete (running and biking), there wasn’t one day in the last 10 years that I didn’t wear a padded bra. I am writing this review 3 weeks post-op and have never been more confident or happy with myself, all thanks to Dr. Pousti (see my separate review of Dr. Pousti below). I received silicone implants, 465 cc in the left and 435 cc in the right. My incisions were areolar to perform the lift and construction necessary to fix my Tuberous Breast Deformity.

His staff members are friendly, supportive and excellent at what they do. Since my surgery 3 weeks ago they have been in constant contact with me; making sure I have all of the medications I need, checking in to see how I’m feeling, answering all of my questions, and scheduling follow-up visits. I go back in a few days for my next post-op appointment, so I’ll post more pictures then. The photos posted here are my pre-op, immediate post-op (in the OR), and 3 days post-op pictures.

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Posted in Breast Augmentation, Breast Procedures, Silicone Gel Implants, Tuberous Breast Deformity


Tuberous Breast Deformity

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This 20 year old patient from Orange County was interested in breast augmentation surgery. She found Dr. Pousti when looking for a surgeon who was double board certified. She desired to improve her tuberous breasts.before breast augmentation silicone with tubular breasts

Tuberous Breasts have a very narrow base and usually a long skin envelope. In the most severe cases of Tuberous Breast, a breast lift can be done through an incision around the areola, making the breast into a more rounded shape that the patient will be happy with. In many cases however, a lift is not necessary. The patient should be aware that the final result will take months to see and that they will need to be patient.

side view before breast augmentation silicone with tubular breasts

Markings were performed and a sizer was used for symmetry of the breasts.

breast augmentation silicone with tubular breasts

Below is after the breast augmentation surgery.

after breast augmentation silicone with tubular breasts

side view after breast augmentation silicone with tubular breasts

This same patient came back and after several years of having breast implants and significant consideration, she decided to have her breast implants removed. The patient also desired to make the size of her areola smaller.

before aerola reduction and implant removal

She knew Dr. Pousti was happy with his professionalism and expertise so she proceeded with surgery to remove her breast implants.

side view before aerola reduction and implant removal

Below, the patient is post implant removal and areola reduction surgery.

aerola reduction and implant removal

aerola reduction and implant removal after

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Posted in Areola Reduction, Areola/Nipple Procedures, Breast Procedures, Implant Removal, Tuberous Breast Deformity


Tuberous Breast Correction

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This 25 year-old patient from Oceanside, California was interested in breast augmentation surgery for several years.  Unhappy with her “tubular breasts” and breast asymmetry she wanted to have surgery to correct it. Tuberous Breasts have a very narrow base and usually a long skin envelope. In the most severe cases of Tuberous Breast, a breast lift can be done through an incision around the areola, making the breast into a more rounded shape that the patient will be happy with. tuberous breast augmentation

She researched for Board Certified Plastic Surgeon herself, and came across Dr. Pousti on the Internet, and after look through many before and after pictures of patients he has help with the same case the patient knew Dr. pousti would be the best surgeon for her.

During her consultation, Dr. Pousti and the patient discussed improving symmetry and shape to  achieve her desired look, a limited breast lift would be needed for both breasts.  To perform a benelli lift, Dr. Pousti would place the incision around the areola (with time, this incision heals beautifully and is barely visible)

breast augmentation and correction of tuberous breast

Markings are made prior to surgery and used as guidelines- the “x” indicates where the new nipple/areola complex will be after the breast lift procedure.

breast augmentation with lift

Before and Immediately After correction of tuberous breast surgery– different sized implants were used to address the breast asymmetry.

breast augmentation with limited lift

breast lift with implants

720cc of saline was used in right breast and 690cc of saline was used in the left breast to achieve the patient’s desired look and breast symmetry

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Posted in Breast Asymmetry, Breast Lift with Implants, Limited Lift (Benelli Lift), Tuberous Breast Deformity



Pousti Plastic Surgery Center
Pousti Plastic Surgery of San Diego
8851 Center Drive, Suite 300
La Mesa, California 91942
Phone: (619) 466-8851 or Email
 
Dr. Tom Pousti is a San Diego and La Jolla Plastic Surgery specialist. He has provided plastic surgery treatments to many San Diego and La Jolla facelift, tummy tuck, liposuction, breast augmentation, and rhinoplasty patients. His office is located in San Diego, and also serves the La Jolla, Riverside, Inland Empire and Temecula areas. Disclaimer


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