NYC Tuberous Breast Surgery - Nina S. Naidu, MD FACS

Tuberous Breast Surgery

For many of Dr. Naidu’s patients, the decision to have tuberous breast surgery is about more than their breasts. It is a decision to feel more feminine and confident. As a specialist in tuberous breast surgery, Dr. Naidu’s goal is to help her patients understand their options, so that every woman can look and feel her very best.

Video: Dr. Naidu Talks About Tuberous Breast Deformity


Video: Tuberous Breast Deformity – Grolleau I


Our office is conveniently located at 1021 Park Avenue in NYC. If you’d like to learn more about tuberous breast surgery – and whether it is right for you – please call our office at 212-452-1230 and schedule an appointment.

Tuberous Breast Surgery Before & After Photos

Tuberous Breast Surgery Before & After Photo - Nina S. Naidu, MD FACS

Tuberous Breast Surgery Before & After Photo – Nina S. Naidu, MD FACS

Tuberous Breast Surgery in NYC

If you’re a women in NYC with tuberous breasts, you have likely been self-conscious about your breasts since puberty. Because breasts play such a huge part in making women feel feminine, a tuberous breast deformity can cause women to hide their breasts and refrain from social activities. Dr. Nina Naidu, an experienced and compassionate reconstructive surgeon, can perform tuberous breast surgery that will help to restore your breast(s) to a normal shape, appearance and size.

Unlike most other breast reconstruction situations, tuberous breast deformity becomes obvious during puberty. Young teenagers see their friends develop round, perky breasts – while they develop small, asymmetrical “Snoopy breasts” with puffy areolae. This can have a devastating effect on self-esteem. Even the term “tuberous breast,” which is named after tuberous vegetables such as potatoes, is a disheartening description of their breasts.

Tuberous breast surgery is a difficult and highly individualized process that is both physical and emotional. You will require a surgeon – such as Dr. Naidu – who will treat you with compassion and respect; and will take the time to educate you about your options.

For many of Dr. Naidu’s patients, the decision to have tuberous breast surgery is about more than their breasts. It is a decision to feel more feminine and confident. As a specialist in tuberous breast surgery, Dr. Naidu’s goal is to help her patients understand their options, so that every woman can look and feel her very best.

What is Tuberous Breast Deformity?

Tuberous breast deformity has several characteristics. These include:

  • Breast tissue is diminished or absent below the nipple A tubular shape to the breast.
  • Enlarged nipples and puffy, protruding areolas.
  • Breasts that are set far apart.
  • A high inframammary fold (the place where the lower breast and the chest meet).

Tuberous breast deformity is congenital and becomes obvious at puberty. Each woman has individual challenges based on her anatomy, the extent of the deformity, and the degree of asymmetry of her breasts.

Your First Consultation with Dr. Naidu in NYC

The first part of your tuberous breast surgery process is a comprehensive consultation in our NYC office. Dr. Naidu will get to know you and how you’d like your breasts to look. Dr. Naidu understands that this can be a difficult process for women who are used to hiding their breasts. You will be treated with care and compassion.

Next, Dr. Naidu will review your medical history and perform an examination of your breasts. She will be looking at the cause of your tuberous breasts, the degree of deformity, your skin quality, and how to balance your breasts with your body shape.

Dr. Naidu will explain your options for reconstruction and whether you are a good candidate for tuberous breast surgery. These options will depend on your anatomy and preference. Dr. Naidu will fully answer your questions and address your concerns. The decision to have tuberous breast surgery is highly personal. Dr. Naidu’s goal is to help you fully understand your options and to support your decision, whether or not you decide to proceed with the surgery.

Your Second Consultation with Dr. Naidu

If you decide to proceed with tuberous breast surgery, you will have a second consultation with Dr. Naidu in our NYC office. At this appointment, Dr. Naidu will explain your surgery in detail. You will understand how your tuberous breast reconstruction will be done and how it will affect the size, shape and volume of your breasts. If you are having augmentation, Dr. Naidu will guide you as the best size, shape and material of implant for your situation. She has a large variety of sizers available so that you can see how you will look following the reconstruction.

Dr. Naidu will also explain the length of your surgery, the location of your incisions, and what to expect during your recovery.

At this appointment, you will complete the necessary paperwork for the surgery. We will also take pre-operative photographs. These photographs are an important part of your surgical planning and are considered part of your medical record. They will never be shown to other patients without your written permission.

Depending on your medical history, Dr. Naidu may advise you to discontinue certain medications prior to surgery. If you are a smoker, you must not smoke for eight weeks before or after the surgery. For your safety, Dr. Naidu will request your medical records (if applicable) and may order additional screening tests.

Options for Tuberous Breast Surgery in NYC

Tuberous breast surgery is not a one-size-fits-all surgery. Dr. Naidu will recommend the best way to proceed, given your anatomy and personal goals. In general, Dr. Naidu will need to address the following issues for patients with tuberous breasts:

  • Constriction below your breasts.

    With tuberous breast disease, the band of fiber below the breast does not expand to allow the breasts to grow. As a result, the breast tissue expands upwards. This creates an oddly shaped breast with herniation of tissue through the areola. Dr. Naidu will need to address this constriction by surgically releasing the scar tissue.

  • Changing the shape of your breasts.

    The tubular shape of your breasts can be altered by reshaping your breasts. A breast lift may also be performed to reposition your nipples to a more natural position.

  • Enhancing your breasts.

    Breasts can be enhanced using an anatomical implant, round implant, or through fat grafting. In selected cases, tissue expanders are required and would require an additional surgery.

  • Reshaping your areola.

    Dr. Naidu can reduce the size of the areolae to better balance with your new breasts. This process is done by making a circular incision around the areola.

Tissue Expansion in Tuberous Breast Surgery

One of the characteristics of tuberous breast deformity is that women do not have enough skin to allow for augmentation. If this is the case, Dr. Naidu may recommend a period of tissue expansion to stretch out the remaining skin and allow placement of permanent implant at a later time. The tissue expander acts like a “balloon” and is placed beneath the skin and pectoralis muscle. Through a small valve in the expander, salt water is gradually injected – over a period of about three months – until the expander is full.

Once the expansion is complete, you must wait another two months until your skin fully adjusts to the expander. At this point, you will have a second surgery and your expander will be replaced with a permanent implant. Dr. Naidu will recommend the size, shape and type of implant that will create the best results.

Immediate Permanent Implant Placement in Tuberous Breast Surgery

Most patients are candidates for immediate placement of permanent breast implants at the time of correction of their tuberous breasts. Although both round and anatomic implants have been used to fill out the lower pole of the breasts where tissue is traditionally diminished in women with tuberous breasts, Dr. Naidu most frequently uses smooth round silicone gel implants in these cases. Fat grafting is an option in a small group of patients who have enough donor tissue to fill the breasts. However, it generally produces a very modest increase in size, and does not completely expand the lower pole of the breast. Some women will require a smaller, second surgery 1-2 years later for minor revisions to their breasts.

Good Candidates for Tuberous Breast Reconstruction in NYC

You are a good candidate for tuberous breast reconstruction if you would like your breasts to have a more natural shape, have realistic expectations for the procedure, and do not have a condition that will impede healing. You also need to have good skin quality.

Cosmetic breast surgery is not performed on women under the age of 18 and implants are not approved for women under the age of 18. However tuberous breast surgery is considered to be reconstructive surgery and can be performed on women as young as 16 years of age. Dr. Naidu will advise you if you are a good candidate for the surgery.

It is also essential that you have realistic expectations. Your reconstructed breast may not have the same sensation as your natural breast tissue. You will also have incision lines on your breast, however these scars will fade over time. The use of implants has risks and may require additional monitoring with yearly examinations. In our experience, despite these drawbacks, most women are extremely happy with their new breasts.

Tuberous Breast Surgery in NYC

Tuberous breast surgery is performed using general anesthesia. During your consultation, Dr. Naidu will explain her surgical plan and make sure that you understand the details of your surgery.

Your tuberous breast surgery will be performed in a hospital or at an outpatient center and you will return home the same day. Additional surgeries, if required, may be performed in a surgery center. These surgeries may be required for minor revisions to your breasts, to correct asymmetries between your breasts, or to insert implants.

Recovery from Breast Reconstruction

You will wake up from your tuberous breast surgery with dressings on your incisions and wearing a surgical bra. Dr. Naidu will give you specific instructions to follow after your surgery. She will give you prescriptions for pain management, as well as instructions about how to take care of your incisions. Immediately following surgery, it will be difficult to lift your arms over your head and you will need assistance with personal activities. Dr. Naidu will provide you with written instructions about how you can return to normal activity quickly and safely.

Dr. Naidu will describe what to expect during your recovery, which varies widely depending upon the procedure and the individual patient.

Many of Dr. Naidu’s patients are strong, independent women who are reluctant to ask for help. These patients need to understand that tuberous breast reconstruction is major surgery and post-surgical assistance will be required. We strongly recommend that you create a plan to take care of yourself and your family, so that you can focus on your recovery.

Complications of Breast Revision Surgery

During your consultation, Dr. Naidu will explain the risks of tuberous breast surgery so that you can make an informed decision about this surgery. As with other surgeries, the risks of tuberous breast surgery include bleeding, infection and scarring. If you are having augmentation, additional risks include capsular contracture (scar tissue around the implant), rippling of the implants, implant rupture, and persistent numbness or pain.

Complications from tubular breast surgery can be reduced by choosing a skilled surgeon, selecting the correct implant, providing a thorough medical history, and carefully following your pre-operative and post-operative instructions.

Cost of Breast Revision Surgery in NYC

Tuberous breast deformity is considered a congenital deformity and is covered by some insurance plans. Please call our NYC office at 212-452-1230 and we will be happy to provide information about the cost of tubular breast surgery and to work with your insurance company. If your insurance will not cover the cost of your tuberous breast surgery, our office can provide information on financing.

You will be provided with the exact cost of your procedure following your consultation with Dr. Naidu.

Choosing Dr. Naidu for Tuberous Breast Surgery in NYC

Aesthetic and reconstructive surgery of the breast comprise a large part of Dr. Naidu’s NYC surgical practice. She has a special interest in Breast Augmentation and in reconstruction of the tuberous breast. Since 2006, Dr. Naidu has served as a clinical investigator in the Breast Implant Follow-Up Studies (BIFS) trials. Dr. Naidu offers her patients the full range of breast implants. She is excited to be one of only nine plastic surgeons in NYC to offer the Ideal Implant®, which combines a natural feel of silicone with the safety of saline.

Dr. Naidu completed her undergraduate studies at The Johns Hopkins University and obtained her medical degree from Cornell University Medical College. After completing her general surgery and plastic surgery training at New York Presbyterian – Weill Cornell Medical Center, she performed an additional year of fellowship training at the University of Pennsylvania. Dr. Naidu is Board Certified by the American Board of Plastic Surgery and is a Clinical Assistant Professor of Surgery at Weill Cornell Medical College.

Schedule a Tuberous Breast Surgery Consultation in NYC

Our office is conveniently located at 1021 Park Avenue in NYC. If you’d like to learn more about tuberous breast surgery – and whether it is right for you – please call our office at 212-452-1230 and schedule an appointment.

 

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Tuberous Breast Surgery Before & After Photos

Tuberous Breast Surgery Before & After Photo - Nina S. Naidu, MD FACS

Tuberous Breast Surgery Before & After Photo – Nina S. Naidu, MD FACS

 
The tuberous or tubular breast deformity refers to a congenital condition in which the breast fails to develop fully. The ideal breast is round with breast tissue spread out across the chest. In a tuberous deformity, the volume of breast tissue may be normal or deficient, but it is concentrated directly below the nipple. As a result, the breast may appear long and narrow. The best treatment for this deformity is to release the constricted breast tissue through an incision around the areola.  The nipple-areolar complex is generally reduced at the same time, and the infra-mammary fold under the breast may also need to be lowered. The region of constriction is opened, and the breast tissue is allowed to splay out naturally. An implant is usually placed at the same time to provide additional volume. In severe cases, tissue expansion of the skin and existing breast tissue may be recommended prior to insertion of the final implant. If implants alone are placed without releasing the tissues, the result will be a breast mound with a deformed and narrowed breast on top of it.

Tuberous breast deformity is also associated with a high incidence of asymmetry between the breasts. The revision rate following tuberous breast surgery is generally higher than that following breast augmentation.

For more information about tuberous breast deformity correction in Manhattan, please contact the office of Dr. Naidu.

 
 

NYC Tuberous Breast Surgery - Nina S. Naidu, MD FACS

NYC Tuberous Breast Surgery – Nina S. Naidu, MD FACS

NYC Tuberous Breast Surgery - Nina S. Naidu, MD FACS

NYC Tuberous Breast Surgery – Nina S. Naidu, MD FACS

NYC Tuberous Breast Surgery - Nina S. Naidu, MD FACS

NYC Tuberous Breast Surgery – Nina S. Naidu, MD FACS

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