Tubular Breast (A New Technique for Correction)

Breast augmentation is generally a fairly straight forward procedure which increases the breast size and helps women obtain a shapely figure. Breast implants work by enhancing the existing breasts by adding volume. Therefore; whatever the shape of the breast is, it just becomes larger. This works very well if the existing breast has a normal shape and width and the only problem is it size.

Tubular breasts present extra challenges. These small breasts have many variations but share some common features. For instance they are very narrow at the chest wall, have a long tubular shape with larger fleshy areolas. They are also too far apart leaving the patient with an unnaturally wide cleavage. Most Women are under the impression that their problem is just having small breasts without realizing that their problem is not just a size issue. If tubular breasts are treated by simply inserting an implant, the results are usually very poor and unacceptable. This is because an implant is incapable of stretching, flattening and altering the Tubular shape. To correct Tubular breasts Dr. Thomas make an incision along the bottom edge of the areola and then reaches down to the base of the breast where he then makes a series of incisions under the surface. These incisions widen the base of the breasts and bring the inner edges closer together creating a naturally tighter cleavage. Up to this point the procedure only widens the base of the breast but the Tubular deformity is still not corrected. Dr. Thomas' contribution to the operation is making a series of thin shavings at the undersurface of the breasts which are responsible to transform the tubular and conical shape into a normal evenly thickened breast. Visualize a narrow based cone becoming a wider based dome. Once that is corrected all that is needed is a breast implant.

Dr. Thomas generally places the breast implants under the chest muscles, which gives his Patients a smoother softer and more natural looking breast. While surgeons can use other surgical approaches to making a pocket under the breast, Dr. Thomas prefers "working through the areola". This way he has direct access and revision to the inside of the breast and the incision scar is usually barley visible. Other pathways for inserting implants such as from the arm pit, bottom of the breasts and from the belly button make it difficult for the surgeon to see and can create more complications. If surgeons do not have a clear vision, then they cannot perform precise operations.

Correction of Tubular Breasts is done in conjunction with breast implants under general anesthesia this adds an additional 1-1 ½ hours to the augmentation procedure. It does not cause additional discomfort. Recovery time is between 7-10 days. Surgery is performed in our certified Surgery Center accredited by the American Association for Accreditation of Ambulatory Surgical Facilities. Dr. Thomas' surgical team consists of Board Certified Anesthesiologists, CRNA's, RN's and operating room technicians. Post operative discomfort is easily controlled with prescribed Medication.

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