About Tubular Breasts
Beverly Hills board-certified plastic surgeon Dr. Jaime S. Schwartz specializes in cosmetic breast surgery that ranges from simple cases using breast implants to corrective surgery in other patients. In some patients, normal breast development does not occur, or the breast develops in an unusual way that can lead to a visible deformity. One such deformity that can exist is one known as tubular (or constricted) breasts. These breasts are generally shorter at the bottom due to an inframammary fold that tends to ride too high. In addition, a constrictive band inside the breast can encircle the breast tissue internally, giving the breast an elongated appearance. When this occurs, the breast often points downward giving it a "tube-like" look. This defect can occur in one or both breasts and requires a skilled and experienced breast surgeon to create a healthy breast and a normal appearance.
At our Beverly Hills plastic surgery practice, Dr. Schwartz corrects tubular breasts and allows patients to obtain a normal, symmetrical look they can be proud of.
Goal of Surgery
The goal of cosmetic breast augmentation with a tuberous or constricted condition is to change the breast proportion. A natural-looking, aesthetically pleasing breast usually has approximately 45% of the breast volume above the nipple and 55% below it. This measurement is often what gives a patient an appealing slope, a natural look, and a pretty, symmetric cleavage that looks natural. Not only does achieving this take surgeon skill but a keen eye. Dr. Schwartz meticulously works to create these very important proportions and shape by releasing the internal constrictions so that the implants function harmoniously but placing the implant correctly to create a natural breast shape.
"Dr Schwartz is fantastic! He has the kindest bedside manner, as he is is patient, making sure to explain everything and answer all my questions. I felt extremely comfortable with him the entire time (despite the fact that I am usually very shy, especially with my body). My priority is to keep things natural and Dr Schwartz was on the same page. He has incredible skill. I could not be happier with my result!"- R.L. / Google / Feb 08, 2019
"60 yr old’s Real Results - I’m 60.. I don’t want to look 40 or even 50. I just want to look like the best me. I go in and ask for Botox. “I want it here.. here... and maybe a little here” He says, “let’s try this.. here, here and here” As a patient I think I know what’s best. But as a patient I don’t know all the others wonderful options. His experience makes me feel confident that when I leave I’ll look Fabulous and I did. This is why I make the over an hour drive. Because he really is a caring, skilled doctor with my best interest in mind every time. Thank you, Diana Sanchez"- Anonymous / Vitals / Apr 05, 2019
"There really aren't enough words to praise Dr. Schwartz and his entire team. I'm a lipedema patient and my journey is deep and complicated and Dr. Schwartz is an angel when it comes to how much he has helped me. I'd reccomened him 100% to anyone, he truly cares about his patients and his craft and I'm so grateful our paths crossed."- M.B. / Google / Mar 28, 2019
"If I could give 6 stars I would!! Dr. Schwartz is AMAZING!!!!!!!! I have been researching breast augmentation doctors for the past three years and have been on numerous consultations. The minute I met with Dr. Schwartz, I knew I was in excellent hands. Dr. Schwartz treats you like a family member instead of a patient. He is very honest and really takes his time with you. Dr. S is an artist!!!! I was very scared of the pain for a breast aug because all my friends who had their boobs done said it feels like an elephant is sitting in their chest. Not to mention, I have the lowest pain tolerance ever!!!!!! ( accupuncture hurts me). I'm not sure the technique he uses, but I had ZERO pain and only took ibuprofen. The day after surgery I was shopping at home goods ( but not lifting anything). I was and am still blown away that I didn't have ANY pain!!!! My boobs look great and natural and I couldn't be any happier. I have now started going to Dr. Schwartz for my Botox and filler. He is amazing with that too. I can honestly go on and on about how great he is, but the truth is, you have to go see him for yourself. My first consultation he spent 2 hours with me and answered every question I had. The office staff is great too. Nicole and Dawn are amazing too."- L.W. / Yelp / May 30, 2018
"Thank You Dr. Schwartz, I Couldn't Be Happier! - I'm a petite, fit, 65 year old with breasts ( 32DD ,I weigh 105) that were out of proportion and saggy. For years I wanted to do a breast reduction and lift, but was too afraid of the procedure.Here I am, 6 weeks later, with great breasts, that are in perfect proportion and I couldn't be happier.My intention, once I finally decided I was going to do the procedure, had been to consult with..."- S. / RealSelf / Jan 15, 2019
As mentioned, tubular breasts are often more of an aesthetic concern. However, they can cause some complications for women who are looking to breastfeed. Tubular breasts make it difficult to nurse and often, there are issues that arise because of the condition. Women who are diagnosed with tubular breasts typically have a gap of more than 1.5 inches between them. In addition, they are elongated, lack symmetry, and have nipples that point downward. They are not round, full, or perky, like a healthy, normal breast.
Typically, several breast cosmetic treatments may need to be done to correct the appearance of tubular breasts. In some cases, a tissue expander will need to be placed into the breast, followed by breast implants to alter the shape and size of the breast. A lift or tightening technique will also be incorporated so that the breasts appear higher on the chest wall, which also eliminates the downward look. Many women will also need nipple surgery to modify the look of the nipples so they match the new size and shape. This entire process may take multiple surgeries to complete, depending on the extent of the current breasts and the desired results. During your consultation with Dr. Schwartz, he will create a customized treatment plan to correct the deformity, create a normal shape, and give you the size you desire.
What to Expect
Dr. Schwartz uses a combination of techniques to accelerate maximum healing and recovery both during and after surgery. Schwartz Rapid Recuperation™ is a term used to describe this process. It starts with a gentler form of general anesthesia called TIVA, which stands for total intravenous anesthesia. Patients are given an IV with medication that provides them with an adequate amount of anesthesia without needing to use a breathing tube or anesthetic gases. Patients will be asleep for most of the procedure and breathing on their own.
TIVA medications wear off faster than general anesthesia and are often out of the body in a few short hours after surgery. Because of this, patients feel less nauseous. In fact, the IV medication has an anti-nausea effect, resulting in a shorter time in the recovery room and an overall smoother experience.
Like after any other cosmetic breast surgery, there will be swelling, tenderness, and bruising after the operation. Patients will be released from the recovery room and sent home to rest, where physical activity should be limited. In most cases, patients need up to 12 weeks of recovery before they can return to exercise and some other normal daily activities. Follow-up appointments will be necessary so that Dr. Schwartz can assess the recovery process and ensure that the breast shape and appearance looks healthy and normal.
FREQUENTLY ASKED QUESTIONS
What causes tubular breasts?
Tubular breasts do not become evident until the process of puberty. Typically, tubular breasts occur because of insufficient breast tissue. In other cases, the tissue that connects the areola to the breast is shaped abnormally, making the breast appear to be drooping.
How much does a tubular breast surgery cost?
The cost of a tubular breast procedure will vary from patient to patient, depending on the number and type of treatments needed. Our office does provide financial planning and payment plans that can work to fit your budget needs. Talk with one of our team members during your consultation to learn more about how we can make your treatment more affordable.
How do I know if I have tubular breasts?
Tubular breasts are diagnosed based off of the appearance of the breasts. Typically, the breasts may appear droopy, have insufficient breast tissue making them appear very small, or the nipples may look abnormal. An experienced and knowledgeable plastic surgeon, such as Dr. Schwartz, will often be able to properly diagnose your condition.
Are there any other forms of treatment for tubular breasts?
Currently, the only form of treatment for tubular breasts and congenital breast deformity is cosmetic surgery. Since tubular breasts do not necessarily affect your health, they are only really treated through a surgical approach to alter the shape and size of the breasts. However, before undergoing a cosmetic breast procedure, you should always make sure that you are receiving care from a physician that is familiar with your condition. A traditional breast augmentation may not be sufficient to fully correct the appearance of tubular breasts.
How common are tubular breasts?
Tubular breasts may be more common than is documented because often times, individuals do not seek treatment for the condition. Patients often feel embarrassed and unsure if their condition can even be corrected. Dr. Schwartz works with many patients and is skilled to correct this deformity. In fact, patients should know that this is not a rare condition, and it can occur in both men and women. While some people may notice irregularities in their breasts, they may not realize they have a condition at all.
Plan Your Procedure
Dr. Jaime S. Schwartz is a board-certified plastic surgeon who works with his patients to help them achieve their aesthetic goals so that they do not have to feel embarrassed by the appearance of their breasts. Patients come to our Beverly Hills practice from all over and after their first consultation, they feel hope that their breasts can look and feel normal. Through cosmetic surgery, Dr. Schwartz can correct the look of tubular breasts and congenital breast deformities and create fuller, shapelier, natural-looking outcomes. To learn more and to schedule a consultation with Dr. Schwartz, contact our Beverly Hills office today.