Tubular Breasts: How to Recognize and Treat This Malformation?

What are Tubular Breasts?

Tubular breasts are a breast malformation characterized by abnormal breast development during puberty. This often results in breast asymmetry with hypotrophy and a conical shape. Tubular breasts usually present an areolar anomaly, with widened areolas and a lower position of the inframammary folds. This condition can significantly impact self-esteem and confidence. Fortunately, plastic surgery offers several treatment options to correct tubular breasts, such as breast lipofilling, mastopexy, breast lift, the use of breast implants, or breast reduction. The Grolleau classification can be used to assess the severity of the malformation and guide the choice of appropriate treatment. Before undergoing surgery, it is essential to consult an experienced plastic surgeon who will assess the feasibility of treatment based on each patient's individual situation.

What are the different stages of tubular breasts?

Tubular breasts are generally classified into four stages according to the Grolleau classification. The first stage corresponds to a slight constriction of the areola with slight breast asymmetry. The second stage is characterized by a more marked constriction of the areola, more pronounced breast asymmetry, and breast hypotrophy. In the third stage, the areola is strongly constricted, the breasts are hypotrophic, and there is significant asymmetry. Finally, the fourth stage is the most severe, with severe areolar constriction, severe breast hypotrophy, very marked asymmetry, and major breast malformation. Each stage requires specific management and treatment by a qualified plastic surgeon.

Breast Anomaly: Who to Contact?

If you have a breast anomaly such as tubular breasts, breast malformation, breast asymmetry, or breast hypotrophy, you can consult a specialized plastic surgeon. This aesthetic surgery professional will be able to guide you and inform you about the different treatment options available. Depending on your specific case, they may recommend procedures such as breast lipofilling, breast lift, mastopexy, breast implants, or breast reduction.

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Tubular Breasts: The Preoperative Consultation Process

The preoperative consultation for tubular breasts is an important step in surgical planning. During this consultation, the plastic surgeon discusses in detail with the patient their expectations, concerns, and objectives regarding the correction of tubular breasts. The surgeon also examines the patient's breasts to assess the severity of the malformation and determine the best surgical approach. Photographs are often taken to document the current appearance of the breasts and allow for comparison after surgery. The surgeon also explains the different treatment options available, such as breast lipofilling, breast lift, mastopexy, breast implants, or breast reduction. It is also important to discuss potential risks, scarring, postoperative sensitivity, and health insurance coverage. This preoperative consultation is an opportunity for the patient to ask questions and clarify all aspects of the procedure before making an informed decision.

Tubular Breast Surgery: What are the Preoperative Examinations?

Before undergoing surgery to correct tubular breasts, several preoperative examinations are generally required to assess the situation and determine the appropriate treatment plan. These examinations include mammography and breast ultrasound, which allow visualization of the internal structure of the breasts and detection of any anomalies or tumors. In addition, a consultation with an anesthesiologist is also necessary to assess the patient's general health and determine the best anesthesia protocols during the surgical procedure. The Grolleau classification can also be used to assess the severity of the breast malformation and guide the choice of appropriate surgical techniques. It is also important to inform the surgeon of any history of smoking or contraceptive pill use, as these factors can influence the healing process.

Tubular Breast Surgery: Precautions to Take

Tubular breast surgery requires certain precautions to ensure optimal results. First, it is important to choose a qualified plastic surgeon specializing in this type of surgery. Different surgical methods can be used to correct tubular breasts, such as breast lipofilling, breast lift, mastopexy, the use of breast implants, or breast reduction. Before surgery, examinations such as mammography and breast ultrasound should be performed to assess breast structure and identify any other possible anomalies. The anesthesiologist must also be involved in the process to ensure safe and effective anesthesia. During surgery, the surgeon follows the Grolleau classification, which defines the extent and method of intervention according to the degree of malformation. It is recommended to stop smoking and stop taking the contraceptive pill before surgery, as these factors can influence the healing process. After surgery, a support bra is often recommended to help maintain and support the breasts during the healing period. Postoperative pain may occur, but appropriate medication can be prescribed to relieve it. Surgical scars are unavoidable, but they can be minimized by precise suture techniques and appropriate postoperative care. There are surgical risks associated with this procedure, such as infection, excessive bleeding, and postoperative sensitivity problems. It is important to follow postoperative recommendations and consult the surgeon regularly to ensure that everything is going well. It is also essential to consider health insurance coverage to cover the costs associated with this procedure. Finally, it is important to discuss with the surgeon the possible implications of tubular breast surgery on pregnancy and breastfeeding, as this can vary from one patient to another.

Tubular Breasts: How is the Procedure Performed?

The procedure to treat tubular breasts may include several plastic surgery techniques, depending on the severity of the breast malformation. Breast lipofilling, also known as autologous fat transfer, can be used to increase breast volume using fat from the patient's own body. A breast lift, or mastopexy, can be performed to lift sagging breasts and reshape breast tissue. In some cases, the use of breast implants may be recommended to improve the shape and size of tubular breasts. Breast reduction can also be performed if tubular breasts are associated with breast hypertrophy. An anesthesiologist will be present during the procedure to administer general or local anesthesia, as appropriate. Surgery may involve correcting breast asymmetry, breast hypotrophy, areolar anomaly, and the inframammary fold. Surgical scars vary depending on the techniques used, but they are generally carefully placed to minimize their visibility.

Tubular Breast Surgery: The Result

Postoperative Follow-up

After tubular breast surgery, it is essential to understand the postoperative follow-up to promote optimal healing. You can expect to experience pain and discomfort after the procedure, but this can be managed with medication prescribed by your surgeon. Postoperative pain is common during the first few days, but it gradually decreases. Surgical scars should be regularly cared for following your surgeon's instructions to minimize the risk of infection. You will need to wear a special support bra to support and maintain the shape of your breasts during the recovery period. Postoperative sensitivity may also be felt, but it should improve over time. It is important to follow your surgeon's recommendations for postoperative care to obtain the best possible results.

Tubular Breast Surgery: Possible Scars

After surgery to correct tubular breasts, it is important to understand the different possible scars. Plastic surgery for tubular breasts may involve different techniques such as breast lipofilling, breast lift, mastopexy, the use of breast implants, or breast reduction. Depending on the technique used, the scars may vary. For example, with breast lipofilling, the scars are generally minimal because it is a less invasive procedure. On the other hand, with breast reduction or the use of breast implants, the scars may be more visible. The surgeon will explain which scars to expect and how they will evolve over time. It is important to carefully follow postoperative instructions to promote healing and minimize the risk of infection.

Tubular Breast Surgery: What are the Risks?

Tubular breast surgery involves certain potential risks and complications. First, there are risks associated with anesthesia, such as allergic reactions or respiratory problems. Second, there are risks inherent to any surgical procedure, such as excessive bleeding, infection, or healing problems. It is also possible to experience postoperative pain, although this can be alleviated with appropriate medication. Patients should also be aware of the possibility of changes in breast sensitivity after surgery. Furthermore, it is important to note that breast plastic surgery presents specific risks, including those associated with the use of breast implants, such as the risks of asymmetry, rupture, or implant displacement. It is important to discuss all risks specific to each type of breast surgery, such as breast lift, mastopexy, or breast reduction, with your plastic surgeon before making an informed decision.

How does breast sensitivity evolve after tubular breast surgery?

After surgery to treat tubular breast malformation, the evolution of breast sensitivity can vary from person to person. Some patients may experience a decrease in sensitivity, while others may experience an increase. It is important to note that these changes may be temporary and that sensation may return to normal over time. Sensitivity may be affected due to the surgical incision, the handling of breast tissue, and the anatomical changes resulting from the procedure. In most cases, sensitivity gradually improves as the tissues heal and adapt to the surgical changes. However, it is essential to note that each case is unique, and it is essential to discuss expectations regarding sensitivity with the plastic surgeon before the procedure.

Tubular Breasts: What impact on pregnancy and breastfeeding?

Tubular breasts can have an impact on pregnancy and breastfeeding. During pregnancy, it is possible that these breasts will not develop regularly and harmoniously. This can lead to breast asymmetry and breast hypotrophy, i.e., underdeveloped breasts. However, it is important to note that each case of tubular breasts is unique and the effects on pregnancy may vary. Regarding breastfeeding, women with tubular breasts may have difficulty producing enough breast milk due to the malformation of their mammary glands. It is recommended to consult a lactation specialist for advice and appropriate support to facilitate breastfeeding.

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