Tuberous Breast Augmentation in Washington DC

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Tuberous Breast Deformity

Congenital anomalies are malformations of the breast (or body) that are evident from birth. There is an estimated three to four percent of people who are born with some type of congenital anomaly.

When it comes to the breasts, one common anomaly that can be readily addressed with surgery is tuberous or tubular breasts. Dr. Feledy has experience with tuberous breast surgery and has helped many individuals address concerns about their appearance and improve their self-esteem.

“I didn’t know that I had tuberous breasts, I just thought I was different and I was so physically introverted. Then I found out I could get tuberous breast surgery to change it. I found Belmont and my life has been different ever since. When I think about how emotional I used to get at the idea of wearing a bathing suit, it is incredible how much this changed my life. ‘ – F.C.*

Tuberous Breast Surgery Consultation with Dr. Feledy

Plastic Surgeon Washington DC, Dr Jules Feledy

If you believe you have tuberous breasts and are interested in a tuberous breast repair surgery, a consultation with Dr. Feledy is essential.

Dr. Feledy is known as one of the best surgeons for tuberous breast surgery Washington DC has to offer. He will discuss your history of physical development and conduct a physical examination to establish the results you want.

The exact surgery to address tuberous breasts depends on several factors: the exact state of your breast development and whether asymmetry may need correction.

Dr. Feledy will help you establish all of these issues and explain how best to approach it for you to get the results you want.

 

Tuberous Breasts Augmentation Before & After Photos


Tuberous breast augmentation before and after
Tuberous breast augmentation before and after
 

View Before & After Gallery

See Belmont Plastic Surgery’s tuberous breast augmentation before & after results. It’s important to look at before and after images to get an idea of what can be achieved with a surgery and to help guide the process with the doctor of determining the outcome you are going for.

 

 

If you have tuberous breasts and are interested in getting them enhanced with a Tuberous Breast Augmentation in Washington DC, schedule your consultation with Belmont Plastic Surgery today.

 

Schedule your consultation with Belmont Plastic Surgery in Washington DC today

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Tuberous Breast Correction Surgery in Washington, DC with Dr. Jules Feledy

Tubular breasts (aka tuberous breasts) occur when an individual’s breast tissue neglects to develop properly. Since breast development occurs during adolescence, it is at this point that the disorder becomes apparent. At Belmont Plastic Surgery, Dr. Jules Feledy, who is a breast reconstruction specialist and one of Washington, DC’s, top plastic surgeons, performs tubular breast correction surgery. Using his artistic vision, experience and skill, Dr. Feledy addresses the unwanted characteristics associated with tubular breasts.

WHAT CAUSES THE DEVELOPMENT OF TUBEROUS BREASTS IN WASHINGTON, DC?

Although the exact cause of tubular-looking breasts remains somewhat of a mystery, scientists theorize that this disorder begins developing while in the womb. And, according to the 2017 study, Tuberous breast: Morphological study and overview of a borderline entity, this disorder may very well be genetic, which means it is most likely an inherited trait.

THIS CONDITION IS REFERRED TO BY A VARIETY OF NAMES, SOME OF WHICH INCLUDE:

  • Tuberous breast disorder.
  • Tuberous breast syndrome.
  • Tubular breast deformity (TBD).
  • Tuberous breast malformation.

HOW IS TUBULAR BREAST DEFORMITY DIAGNOSED IN WASHINGTON, DC?

Dr. Jules Feledy uses the characteristics of the patient’s breasts to determine if he or she has tubular breast deformity. Since this disorder has a few hallmark characteristics, diagnosing this disorder it relatively easy.

WHAT ARE THE BREAST CHANGES ASSOCIATED WITH TUBULAR BREAST DEFORMITY?

When someone has TBD, the breast is unable to develop properly because of restrictions resulting from abnormal connective tissue at the base of the breast. These restrictions cause the irregular characteristics associated with tuberous breast disorder.

WHAT ARE THE OTHER CHARACTERISTICS OF TUBULAR BREASTS?

Tubular breast size varies and there are different degrees of this disorder. The severity of tubular breast deformity ranges from a mild unevenness to an extreme breast deformity.

If one or both of an individual’s breasts have any of the characteristics listed below, he or she may have tubular breast deformity.

POTENTIAL CHARACTERISTICS OF TUBEROUS BREASTS INCLUDE:

  • The breast has a slim, cylindrical/conical shape. If the patient has a severe form of this disorder, the breasts will resemble sweet potato tubers, hence, the disorder’s name.
  • A small breast base.
  • There may be a wide space between the breasts (at least 1 ½ inches).
  • An elevated breast crease (i.e., the inframammary crease beneath the breast), which causes the breast to droop.
  • An oversized nipple-areolar complex that looks puffy, bulging and/or pointed.
  • The nipple-areolar complex may be closer to the breast crease than expected or it may point downward.
  • A minimal amount of breast tissue may be present.
  • If only one breast is affected, it may look underdeveloped when compared to the other one.
  • When both breasts are affected, they may be extremely small and look as if they are underdeveloped.

DO TUBEROUS BREASTS CAUSE ANY SIGNIFICANT HEALTH EFFECTS?

Although tubular breasts do not cause any significant physical health effects, this disorder can cause an individual to experience emotional distress.

TUBEROUS BREAST DISORDER IN FEMALES

Women who have this disorder are frequently embarrassed and dissatisfied with the asymmetry, size and shape of their breasts.

HOW TBD CAN AFFECT A WOMAN’S LIFE:

  • A young woman who has just gone through puberty may realize her breasts are different while changing in front of her peers, resulting in embarrassment and potential ridicule.
  • Women may experience anxiety related to the appearance of their breasts, especially in relation to intimacy.
  • A woman who has tubular breasts may have difficulty finding clothing that fits well and looks good.
  • She may also be hesitant to wear plunging necklines and bathing suits.
  • Undergarments frequently do not fit properly and are uncomfortable for her to wear.
  • Due to a lack of glandular tissue, women with this disorder may find breastfeeding difficult.
  • As a woman with TBD ages, the characteristics of the disorder may become more pronounced (these changes may occur due to weight variances, pregnancy and breastfeeding).

TUBEROUS BREAST DISORDER IN MALES

When a male has this disorder, he is considered to have an unusual variant of the condition referred to as gynecomastia. Gynecomastia results when a male’s estrogen levels are too high and testosterone levels are too low. A male develops tubular breasts for the same reason that a female does.

HOW TUBEROUS BREAST DISORDER CAN AFFECT A MAN’S LIFE:

  • Just as with women, this disorder can negatively affect a man’s self-esteem.
  • Men with tubular breasts may refuse to remove their shirts while spending time at the beach or in the pool.
  • A man may avoid wearing certain kinds of clothing because he believes it may show an outline of his tuberous breasts and/or puffy-looking nipple-areolar complexes.
  • Men may develop anxiety related to the appearance of their breasts, especially when it comes to intimacy.
  • Men may try to keep their tubular breasts a secret from friends and family, which only increases their anxiety levels.

SEVERITY LEVELS OF TUBEROUS BREAST SYNDROME

The severity of tuberous breast syndrome can be determined by the characteristics of the affected breast.

Type 1 – Underdevelopment of the breast’s lower medial quadrant.
Type II – Underdevelopment of the breast’s lower medial and lateral quadrants. In addition, there is an adequate amount of skin in the region beneath the areola.
Type III – Underdevelopment of the lower medial and lateral quadrants of the breast as well as a lack of skin in the region beneath the areola.
Type IV – A minimal breast base and severe constriction of the breast.

WILL TUBEROUS BREASTS EVENTUALLY IMPROVE ON THEIR OWN?

Unfortunately, the only way to correct tubular breasts is with surgical intervention. An experienced Washington, DC, plastic and reconstructive surgeon can perform tuberous breast correction surgery.

WHAT IS TUBEROUS BREAST AUGMENTATION SURGERY?

The severity of the patient’s syndrome determines how his or her surgery is performed.

Patients with a mild form of tubular breast disorder typically only need one surgical procedure to correct their breasts.

Patients who have a moderate to severe form of this syndrome will need several different procedures performed to correct their breasts.

THE SURGICAL PROCEDURE TO ADDRESS MILD TUBULAR BREAST DISORDER

During breast correction surgery to address mild tubular breast deformity, Dr. Feledy releases the constricted breast tissue and then, if the patient desires larger breasts, Dr. Jules Feledy places a breast implant. If the patient’s nipple-areolar complex is stretched, he can reduce its size, thus, making it proportionate to the patient’s newly revised breast.

Patients who are having breast implants placed, will need to explore several options before surgery. Since every procedure is personalized to meet the needs of a specific patient, Dr. Feledy and the patient will explore these options prior to scheduling her procedure.

THE SURGICAL APPROACH FOR THE TREATMENT OF MODERATE TO SEVERE TUBEROUS BREAST DISORDER IN WASHINGTON, DC

Patients who have moderate to severe cases of this disorder can benefit from a breast lift (i.e., mastopexy).

With a donut mastopexy, Dr. Jules Feledy is able to enhance the contour of the breast. During the same surgical procedure, if desired, he can perform a breast augmentation to increase the size of the patient’s breasts.

TISSUE EXPANSION FOR TBD SURGERY

Some patients will need the added step of gradually expanding their breast tissue. Once the expansion is complete, Dr. Feledy can perform a breast lift and a breast augmentation. These two procedures can be done during the same surgical session.

THE BENEFITS OF A BREAST LIFT FOR THE TREATMENT OF TUBEROUS BREASTS IN WASHINGTON, DC

During a mastopexy, Dr. Feledy removes any excess skin and then tightens and reshapes the patient’s breast tissue.

WHAT ARE THE BENEFITS OF HAVING BREAST CORRECTION SURGERY?

As an experienced aesthetic and reconstructive surgeon who specializes in breast reconstruction procedures, including tubular breast correction surgery, Dr. Jules Feledy has the skills and artistic vision necessary to create his male and female patients breasts that are symmetrical, natural-looking and pleasing in shape.

SOME OF THE BENEFITS PATIENTS ENJOY FOLLOWING THEIR TUBULAR BREAST CORRECTION SURGERY INCLUDE:

  • Breast shape changes:

    Dr. Feledy changes the shape of the patient’s breasts from cylindrical to round.

  • Improved volume and contour:

    This can be accomplished with a breast augmentation. During this procedure, Dr. Feledy uses breast implants to increase the size of the patient’s breasts.

  • Asymmetry is addressed:

    Dr. Jules Feledy ensures that his patient’s breasts are properly balanced following their breast correction surgery.

  • A flatter, less projected and properly proportioned nipple-areolar complex:

    When necessary, Dr. Feledy reduces the size of the nipple-areolar complex so that it is proportional to the size of the patient’s breast. He also repositions the nipple-areolar complex so that it is centered appropriately on the patient’s breast.

BREASTFEEDING AFTER TUBEROUS BREAST CORRECTION SURGERY: IS IT POSSIBLE?

This type of surgery does not usually affect a mother’s ability to breastfeed. In fact, having this procedure may enhance her ability to breastfeed because the constriction that is caused by this disorder affects the amount of space there is for her milk ducts, making it more difficult for them to expand. Tuberous breast correction surgery does not interfere with the milk ducts that are required to breast feed. However, there are some women with this disorder who are unable to breastfeed because their milk glands never fully developed.

WHO IS A GOOD CANDIDATE FOR TUBEROUS BREAST CORRECTION SURGERY?

Men and women in good general health who lack confidence in their image because of the characteristics associated with tubular breast deformity should consider having breast correction surgery with Dr. Jules Feledy.

BREAST CORRECTION SURGERY PATIENTS MUST:

  • Have realistic expectations about what can be accomplished with breast correction surgery.
  • Realize that they may need more than one surgery to achieve optimal results: These patients need to consider this prior to scheduling their first procedure.

AN INITIAL CONSULTATION AT BELMONT PLASTIC SURGERY FOR TUBEROUS BREAST CORRECTION

The initial consultation is critical for the patient and for Dr. Jules Feledy. It is during this consultation that Dr. Feledy realizes the patient’s concerns and what he or she would like to accomplish with breast correction surgery. In addition, Dr. Feledy will review the patient’s medical history, ask questions and discuss any concerns that he has.

Patients need to bring a list of the medications, vitamins and herbal supplements that they take regularly. Please include the name of the product/medication, the dosage, the frequency the product/medication is taken, the reason for the product/medication and, if applicable, the prescribing physician. This information is very important because some products/medications are known to thin the blood, which could result in a problem during surgery.

If the patient smokes cigarettes or uses any type of product that contains nicotine (e.g., e-cigarettes, chewing tobacco, etc.), please let Dr. Feledy know. One side effect of nicotine is vasoconstriction, which is the term used when referring to the narrowing of the blood vessels.

Vasoconstriction is detrimental to the healing process because it slows blood circulation, which means it takes longer for the vital nutrients and oxygen to reach the part of the body that is trying to heal itself, thus, increasing the amount of time it takes the body to heal the surgical incisions. Furthermore, vasoconstriction elevates the patient’s risk of experiencing some type of complication (e.g., an infection, etc.).

Dr. Feledy also needs to know if the patient participates in the use of recreational drugs and/or if he or she regularly consumes alcohol.

It is vital that patients are candid with Dr. Feledy and his staff during their consultation. The information collected during this appointment is essential for ensuring the patient’s safety and that he or she receives the best surgical results possible.

After discussing the patient’s medical history and finding out what he or she would like to accomplish with breast correction surgery, Dr. Feledy will need to examine the patient’s breasts.

During this examination, Dr. Jules Feledy will determine if the patient actually has tubular breast deformity.

HE WILL BE EVALUATING THE:

  • Breast volume.
  • Position of the nipple-areolar complex.
  • Breast symmetry.
  • Position of the inframammary crease.
  • Skin volume.
  • Size of the nipple-areolar complex.
  • Chest wall symmetry.

Dr. Feledy will also want to know about the developmental history of the patient’s breasts.

Once the breast examination is complete, Dr. Jules Feledy will provide insight into which procedures and breast enhancement products (e.g., breast implants, etc.) he believes will provide the patient with the results he or she desires.

Dr. Feledy uses his experience when determining which procedures and products will provide the patient with the best long-term outcome. Following surgery, Dr. Jules Feledy wants the patient’s breasts to look natural and age well.

TUBEROUS BREAST CORRECTION AT BELMONT PLASTIC SURGERY:

THE PROCEDURE

Procedure specifics are determined by the severity of this disorder.

Tubular breast correction surgery is an outpatient procedure that takes from 1 ½ to 2 ½ hours.

Patients receive general anesthesia during this procedure; therefore, they will need to bring a licensed driver with them on the day of their breast correction surgery.

BREAST CORRECTION SURGERY FOR TUBULAR BREASTS IN WASHINGTON, DC

Prior to surgery, Dr. Feledy may visit the patient in the pre-op area. At this time, he may use a surgical pen to make various markings on the patient’s breasts. These markings are used as a guide throughout surgery. Patients are encouraged to ask any last-minute questions they have.

Each procedure is tailored to meet the needs of a specific patient, nonetheless, there are a few steps that every breast correction procedure for treating tubular breasts has in common.

PROCEDURE STEPS:

1. DR. FELEDY MOVES THE INFRAMAMMARY CREASE

Once the anesthesia has taken effect, Dr. Jules Feledy will begin the procedure by moving the inframammary fold to a lower position on the patient’s chest.

2. HE EXPANDS THE CONSTRICTED TISSUE AND SKIN

He scores the breast tissue internally. The constricted breast tissue and skin is now expanded. This allows him to create the patient a rounder, more natural shaped breast.

3. A MASTOPEXY IS PERFORMED

A mastopexy is performed. The type of mastopexy Dr. Feledy performs depends on the degree of sagging he is addressing. Mastopexy incision options include the donut, lollipop and inverted-T.

MASTOPEXY INCISIONS, EXPLAINED:

  • A PERIAREOLAR BREAST LIFT (AKA DONUT MASTOPEXY) – This mastopexy is ideal for patients who have conical-shaped breasts, minimal sagging and/or overly large nipple-areolar complexes. During this procedure, an incision is created around the nipple-areolar complex.
  • A LOLLIPOP MASTOPEXY – If a patient has moderate sagging, Dr. Jules Feledy performs a lollipop mastopexy. During this procedure, an incision is created around the nipple-areolar complex and vertically down the breast.
  • AN INVERTED-T BREAST LIFT – Patients with severe sagging will require an inverted-T (aka anchor) mastopexy. This incision is essentially the lollipop incision with the addition of an incision along the breast crease.

Through the mastopexy incision, Dr. Jules Feledy will improve the shape of the breast, reduce the size of the nipple-areolar complex and reposition the nipple-areolar complex on the breast mound that has been moved to a higher position on the patient’s chest. In addition, Dr. Feledy can place breast implants using any of the mastopexy incisions that are listed above.

4. BREAST IMPLANTS ARE PLACED

If applicable, Dr. Feledy places breast implants. He creates pockets for the implants (either above or below the pectoral muscle). When necessary, he can use implants of different sizes: When a patient’s breasts are asymmetrical, using implants of a different size allows Dr. Feledy to provide the patient with more symmetrical breasts.

5. BREAST TISSUE IS REMOVED

He removes any abnormal or excess breast tissue that is behind the nipple-areolar complex.

Dr. Feledy can usually make all of these corrections during one surgical session, however, if a patient’s skin is extremely tight, he may need to make these corrections in stages: Sometimes, when a patient has exceptionally tight skin, an expander needs to be used to stretch the skin before surgery can be scheduled.

Other procedures can be combined with breast correction surgery (e.g., fat grafting, liposuction, etc.), therefore, patients who are interested in multiple procedures may be able to have them completed in a single surgical session.

Once Dr. Jules Feledy corrects tubular breasts, the patient’s breasts will age naturally, most patients never want or need additional breast surgeries.

THE IMPORTANCE OF CHOOSING AN EXPERIENCED BREAST SPECIALIST

A donut mastopexy is frequently the most desired incision option, however, this incision option is only appropriate for patients with tuberous breast disorder who have minimal sagging.

If an inexperienced surgeon performs a donut mastopexy for a patient who requires a more extensive procedure, the breast may become distorted and/or the scars around the nipple-areolar complex may be highly visible.

RECOVERING FROM TUBEROUS BREAST CORRECTION SURGERY

Before the patient heads home, he or she receives aftercare instructions.

Dr. Feledy asks that his patients have someone remain with them for at least the first 24 hours following their procedure.

After surgery, patients may receive drains. These drains help decrease inflammation by reducing fluid accumulation beneath the skin. The patient will need to return to Belmont Plastic Surgery to have these drains removed.

Most patients receive a surgical bra/compression garment. This bra/compression garment provides the breasts with support as they heal. It also helps to reduce inflammation.

Most patients recover quickly and, as long as the patient follows Dr. Feledy’s recommendations, the resulting scar begins fading within two or three months.

Patients can usually drive three days after their procedure.

Most of Dr. Feledy’s patients can return to school and/or work within the first week of their procedure.

In order for the incisions to heal properly, exercising needs to be avoided following surgery. Depending on the patient’s level of healing, exercising may be resumed at some point between four to six weeks of his or her breast surgery.

Patients need to wait at least a month before they go swimming or to the beach; otherwise, he or she could develop complications.

Approximately two weeks after their surgery, the majority of Dr. Feledy’s patients feel as if they are back to normal.

Within a month, the final shape of the patient’s breasts will become evident.

About three months after surgery, his or her breasts have healed completely. It is at this point that the patient may notice his or her confidence level has increased.

POTENTIAL SIDE EFFECTS ASSOCIATED WITH TUBEROUS BREAST CORRECTION SURGERY IN WASHINGTON, DC

As with all procedures, there are risks associated with tubular breast surgery. Many of the potential side effects are the same as those associated with breast augmentation and breast lift procedures. Dr. Feledy discusses these possible risks during the patient’s initial consultation.

POTENTIAL SIDE EFFECTS INCLUDE:

  • Infection.
  • Visible scarring.
  • Bleeding.
  • Persistent pain.
  • Soreness.
  • Bruising.
  • Nerve damage.
  • Sensation changes in the nipple-areolar complex and/or the breast.
  • Undesirable breast changes (visible changes).
  • A hematoma.

HOW MUCH DOES TUBEROUS BREAST CORRECTION SURGERY IN WASHINGTON, DC, COST?

Since there are varying degrees of this disorder, the only way that Dr. Jules Feledy can determine cost is through an initial consultation. During the consultation, Dr. Feledy can find out what the patient would like to accomplish as well as examine the patient to assess the severity of his or her breast disorder.

WHAT TO LOOK FOR IN A BREAST SURGEON

Attaining a beautiful, natural-looking tubular breast correction result requires the talent and skills of an experienced breast reconstruction specialist. By choosing an aesthetic and reconstructive surgeon who specializes in performing breast reconstruction procedures, patients can greatly reduce the likelihood of experiencing a complication. Dr. Jules Feledy’s expertise in this area has made him a highly sought-after surgeon for correcting the characteristics associated tubular breast disorder. He performs custom-designed breast procedures for men and women in Washington, DC, who have tubular breasts.

WOULD INSURANCE PAY FOR A POLICYHOLDER TO HAVE TUBULAR BREAST CORRECTION SURGERY?

For the most part cosmetic surgery is not covered by insurance companies, however, there are several aesthetic breast procedures that will be covered as long as they are considered to be medically necessary (e.g., breast reconstruction following a mastectomy, etc.). In addition, since tubular breasts are considered to be an inherited deformity, health insurance may cover a portion of the procedure.

Whether you are male or female, if you have tubular breasts, Dr. Feledy can help. With tuberous breast correction surgery, Dr. Jules Feledy can give a female patient the beautifully round, voluptuous breasts she longs for and provide a male patient with the masculine-looking breasts and nipple-areolar complexes that he desires.

Contact Belmont Plastic Surgery and schedule your appointment with top, award-winning, board-certified aesthetic and reconstructive surgeon Dr. Jules Feledy. To schedule your appointment, call 301-654-5666 or click here to contact the office via our online form, or to schedule a virtual consultation.

Belmont Plastic Surgery’s Chevy Chase, Maryland, address is 5530 Wisconsin Avenue, Ste. 818.

 

Tuberous Breast FAQs

What is a congenital breast anomaly?

A congenital breast anomaly concerns an individual born with a physical condition that may effect the breast development or appearance in a specific way that could be considered anomalous from what is generally considered traditional body form. Tuberous breasts or tubular breasts are a common breast anomaly that Dr. Feledy has years of experience helping patients with.

What are tuberous breasts?

The physical appearance of tuberous breasts are a combination of a bulge and puffy appearance of the nipple and a more constricted area of tissue behind it which doesn't allow the breast to fully grow. It is not uncommon for tuberous breasts to have an asymmetrical aspect.
For both teens and adults, tuberous breast deformity affects normal breast development and may result in what looks like a chest area that is not fully developed, which can affect self esteem or make one feel insecure regarding intimacy.

What causes tuberous breasts to form?

There are different theories on why some individuals get tuberous breasts but the exact cause has not yet been fully isolated.