Tuberous Breasts (hypoplasia)
- Rebates from Private Health Insurance and Medicare
- Hospital fees covered by private health insurance
- Day surgery only
Tuberous breasts are a result of a congenital abnormality. It can occur in both men and women. You can start to develop this abnormality during puberty and it may worsen with age. This condition has several other names such as snoopy, constricted, and conical shaped breasts.
Signs of this condition are that you have puffy areola’s, a large gap between your breasts, a very high mammary fold (where the underwire of your bra sits), narrow breasts, minimal breast tissue, sagging of the breasts or different sized and shaped breasts. This condition can affect the ability to breastfeed and in most cases women find it too difficult.
What happens at the first consultation?
Dr Norris will aim to make you as comfortable as possible as he knows that patients with this condition are sometimes embarrassed. He will take measurements of your breasts and explain to you what type of tuberous grade you are. You will then have a discussion with Dr Norris about your concerns and what you would like your breasts to look like. Dr Norris will evaluate your breasts by assessing your skin tone, condition of breast tissue and fatty tissue, and the position of your nipples. He will measure your breasts and photographs will be taken for your medical records. Dr Norris will discuss how the operation is performed, where the scar can be placed, and what types of implants and sizes are available. You will then be given a detailed quotation which will include your options for surgery. If you decide to proceed with surgery, Dr Norris will see you again at a second consultation.
What type of implant will be used?
There are a lot of decisions to be made when selecting an implant. Below is a beginners guide to understanding implants:
- Polyurethane (furry Brazilian)
- Extra High
- Ultra High
- Anatomical (teardrop):
- Oval Base Anatomical profile inferior lower pole
- Round Base Tear drop profile moderate lower pole
- Oval base Anatomical pole superior lower pole
And of course the most important is your implant SIZE. Most women will choose to have silicone gel implants to provide a natural feel. There is currently no scientific evidence that silicone gel breast implants put you at an increased risk of breast cancer, autoimmune diseases or problems when breast feeding. These implants may interfere with interpretation of a mammogram but this can be avoided if special views are requested at the time of the mammogram. There is evidence to suggest that textured and polyurethane coated implants help to reduce the risk of formation of scar tissue (capsular hardening) in the breast pocket around the implant.
Dr Norris will advise you if he thinks you may require 2 different sized implants. Most woman are asymmetrical, but only some are need 2 totally different implant sizes. Most implants increase by size of 15-25cc increments. Most women are only 5-10cc different in size between breasts.
How is the operation performed?
Dr Norris performs breast augmentation in fully accredited medical facilities. You will be introduced to the anaesthetist that Dr Norris works closely with, who will in most cases give you a general anaesthetic.
There are normally three choices for placement of the incision and the scar that results from it. However, with tuberous conditions you may be limited to only one incision. Two technique’s are to make an incision directly around and through the areolar or under the breast in the mammary crease.
- Inframammary (hidden in the fold under the breast)
- Periareolar (hidden around the edge of the areola)
After Dr Norris has made the incision, the pocket in which the implant will be placed is dissected.
This pocket lies behind the natural breast tissue, on top of the chest wall muscle (subglandular) or either beneath the chest wall muscle (submuscular/subpectoral) .
The pocket used will depend on a number of factors, including how to best correct your tuberous shape and give your breasts the most natural appearance, the presence of breast droop (ptosis), and the type of implant used. Dr Norris most commonly places the implants in the submuscular position as it is easier to hide the implant, lessens the chances of the implant being felt, and gives a more natural appearance. However 50% of tuberous cases may need to have the implant placed on top of the muscle to reverse the tuberous shape of the breast .
When the implant is placed into the pocket it will be centered beneath the nipple and positioned to give you a breast that is beautiful. Very occasionally a drain may be placed into the pocket which would be removed the day after surgery. The incisions are closed with dissolvable sutures to save you the inconvenience of having them removed. A waterproof dressing is applied over the incisions and you will leave the hospital wearing a comfortable and supportive surgical bra.
What happens after the surgery?
- Breast Augmentation for tuberous breasts can take between 1-3hrs to perform depending on incisions and how asymmetrical you are.
- You will be in hospital for approx. 5-7 hrs in total before being discharged.
- A friend, or responsible adult must collect you from the hospital as you can not drive home.
- You will leave with written postoperative instructions and a prescription for pain-relief.
- Daily short showers are permitted, ensuring your waterproof dressings are dried adequately.
- Sleep on your back, elevated by a few pillows for the first 6 weeks. This will reduce your swelling.
- Within the first 2 days after surgery you will experience the worst of the discomfort, managed by your prescribed pain medication.
- You might have bruising, swelling, tenderness, and sensitivity. Swelling can vary from patient to patient and should resolve by 2 weeks.
- Light exercise is permitted after 1 week, such as walking. Resuming normal daily exercise at 6 weeks as instructed by Dr Norris.
- You can return to work after 1 week, unless it involves heavy lifting or use of the upper body. You might require to be on light duties for up to 3 weeks.
- A follow-up appointment will be booked for you on day 3 after the operation. This is to check your wounds and change the dressing.
- Rupture Breast implants are not a lifetime device. Breast implants rupture when the shell develops a tear or hole. Ruptures can occur at any time after implantation, but they are more likely to occur the longer the implant is implanted. Severe capsular hardening can cause an implant to rupture.
- Capsular hardening Hardening around the implant is due to shrinkage of the capsule that forms as the body’s natural response to foreign material. The breast may appear firmer and may look different to the other one.
- Haematoma A collection of blood in the breast pocket, which is either naturally absorbed into the body or sometimes requires further surgical drainage. Symptoms include swelling, pain, bruising, hot to touch, or itchy breast.
- Infection Infections are unpredictable and normally occur in the first 3 weeks after surgery and treated immediately with antibiotics.
- Stretch Marks Are unpredictable and vary between patients. To prevent them we advise the use of vitamin e and bio oil before and after surgery to soften the skin.