My breasts are very small and set far apart, with large areola's that almost point to my sides. I have had 2 miscarriages and since then, I have noticed a greater loss in breast mass / tissue at the upper portion of my breasts. They have always looked disfigured to me and I am very self conscious because of this. So, is this a normal condition? Or tubular? What can be done to repair the abnormality? Thank you.
A: Tubular breasts are characterized by having a constricted breast base.
Tubular breasts are characterized by having a constricted breast base with resulting breast ptosis and widened areola from upward displacement of the the breast tissue under the nipple. All the tissues are normal. However most plastic surgeons pay much attention to this breast form as the best corrective treatments require thought and adjustments in our breast augmentation techniques to have the best outcomes.
Specific to your case, breast tissues are normal but the form is indeed tubular but not severe. In planning your treatment there would need be a plan to address the following: 1) constricted base to your breast, 2) psuedoptosis of the breast, 3) volume enhancement, 4) areola reduction, 5) lateral positioning of your nipple areola complex.
Points 1-4 can be simply addressed in your case with lowering of your inframammary crease and release of breast tissue to expand the breast base, submammary placement of a implant to correct volume, and areolar reduction. However point #5 remains a problem as its treatment is less predictable. A thorough discussion of the risk benefits of a surgical plan for your lateralized NAC should be had with your plastic surgeon as the resulting scars for treatment of laterlized NAC may not be the best return for your energies. Best of luck to you.