Tubular or Tuberous Breasts

Definition: A congenital breast abnormality that occurs in different degrees of severity; developmental of breast shape and growth in which breast tissue is extra dense and assumes a constricted, tubular shape. (nicknamed “Snoopy” breasts)

 

Characteristics present:

  • During puberty breast development stymied
  • Narrow constricted breast base below the nipple; short distance between nipple and fold of breast.
  • Large, puffy areola that protrude
  • Herniating of breast tissue into the areola
  • Relatively wide space between the breasts
  • May experience the absence of breast changes in pregnancy, postpartum, or both
  • May not have developed enough milk glands to produce milk

Breast Reconstruction Procedures

Surgery is not always sought, but there are options available.

1) Release of constricted tissue by scoring base of the breast tissue from the inside.

http://www.realself.com/question/correct-tubular-breasts

“A common treatment technique involves releasing constricted breast tissue underneath the protruding nipples to give your breasts a fuller, less “snoopy” shape. No breast implants are needed but you may not be happy with their size after surgery.”
– Jerome Edelstein, MD

2) Fat grafting

http://www.ncbi.nlm.nih.gov/pubmed/21416295

https://www.lipostructure.com/blog/sydney-coleman-video-on-fat-grafts-stem-cells-regenerative-surgery/ (copy and paste URL)

3) Tissue Expansion with expander (inflatable implant)

Salt water is slowly injected into the expander over a period of time to stretch the constricted tissues at the base of the breast.

http://www.plasticsurgery.org/reconstructive-procedures/tissue-expansion.html

http://www.realself.com/question/tubular-breasts

(See also section “Tissue Expansion” under Breast Reconstruction)

4) Breast implants (sometimes preceded by tissue expansion)

Before and After Photos

  1. With lipostructuring

https://www.lipostructure.com/tuberous-breasts/

  1. With breast implants

http://www.implantinfo.com/photocenter/Tuberous-Tubular-Breasts-Corrected-2264.aspx

http://www.implantinfo.com/photocenter/Breast-Augmentation-Corrects-Tuberous-Breasts-2631.aspx

Psychological Factors

The link below is important .for understanding the ramifications of this condition. There is excellent dialogue from women on this subject.

Enns, Cathy. EmporHER. Tuberous Breasts—To Fix or Not to Fix?

http://www.empowher.com/cosmetic-procedures/content/tuberous-breasts-fix-or-not-fix?page=1

REFERENCES

1) American Society of Plastic Surgeons. September 2004. ASPS Recommended Insurance Coverage Criteria for Third-Party Payers. Breast Reconstruction for Deformities Unrelated to Cancer Treatment. Retrieved from http://www.plasticsurgery.org/x1673.xml?google=tuberous+breasts&x=0&y=0 Inscov-brstrecon-deform 10#9E22

2) American Society of Plastic Surgeons. September 2004. ASPS Recommended Insurance Coverage Criteria for Third-Party Payers. Breast Reconstruction for Deformities Unrelated to Cancer Treatment. Retrieved from http://www.plasticsurgery.org/x1673.xml?google=tuberous+breasts&x=0&y=0 PracPar. NonCancerBrst10-04 kj

3)Tuberous Breast Deformity. (n.d.) Segen’s Medical Dictionary. (2011). Retrieved March 30 2015 from http://medical-dictionary.thefreedictionary.com/Tuberous+Breast+Deformity

4) Cassar, Diana. Supporting Mothers with Mammary Hypoplasia. Leaven. Vol. 45 No. 2-3, 2009, pp. 4-14. Retrieved from http://www.llli.org/llleaderweb/lv/lviss2-3-2009p4.html

5) Enns, Cathy. EmporHER. (March 30, 2015) Tuberous Breasts—To Fix or Not to Fix? http://www.empowher.com/cosmetic-procedures/content/tuberous-breasts-fix-or-not-fix?page=1

6) 007 Breasts. (March 30, 2015) Does breast size effect breast feeding? Retrieved from http://www.007b.com/breast_size_breastfeeding.php

7) Real Self. (March 30, 2015) Fix tubular breasts without implants? Retrieved from http://www.realself.com/question/tubular-breasts