Tuberous Breast Correction in New York City

The tuberous breast deformity is a congenital breast anomaly that becomes manifest at the time of puberty and breast development. The exact etiology is unclear. It is theorized that the deformity has an embryologic origin, and while there may be a genetic predisposition, no clear link has been determined with tuberous breasts. Its physical manifestations are attributed to a combination of connective tissue ring-constriction around the areola, and thin or hypoplastic areolar fascial (connective tissue) support. This can result in the puffiness and bulge of the nipple areolar complex. Breast asymmetry is a common hallmark of tuberous breast deformity, with discrepancies seen in breast volume, shape, areolar size, and breast droop.

No, there are considerable differences between tuberous breast correction and breast augmentation. Tuberous breast deformity correction is a very specialized procedure that often incorporates breast augmentation when necessary, but requires a variety of nuanced technical maneuvers to achieve the most consistent aesthetic outcomes. The most common problem is that tuberous breast deformity in its milder forms is commonly underappreciated and underdiagnosed. When unrecognized, treating the less obvious variants of the tuberous deformity with more common breast augmentation techniques will often fail to appropriately address the deficiencies and restrictions of the breast lower pole, and may worsen areolar herniation, resulting in a less pleasing breast shape. Moderate and severe forms of tuberous breast deformity require a delicate balance of breast reshaping, areolar balancing, and breast augmentation as indicated by the tubular breast deformity type and individual desires.

With so many different degrees of severity and asymmetry, no two tuberous breast corrections are the same. Each is as different as the individual’s breast shape, body type, and unique goals, and as different as the breast surgeon who performs them. As a double board-certified, Harvard-trained plastic surgeon with a clinical focus on aesthetic breast surgery, and having published and lectured on tuberous breast deformity and methods of treatment, Dr. Kolker has a long-standing interest and specialty in safely achieving consistent and beautiful results with tuberous breast correction.

Dr. Kolker’s website and other web-based resources can be valuable in providing some basic information about tuberous breast deformity correction, however there is no substitute for an in-depth consultation with a board-certified plastic surgeon who is knowledgeable in the many nuances of tubular breast correction. With vast experience in the treatment of tuberous breasts, Dr. Kolker will help you formulate a plan for the best tuberous breast correction NYC has to offer, and will tailor the breast implant options that are specific to your unique desires. Tuberous breast surgery is a procedure that requires total personalization, technical skill and finesse, anatomical understanding, and aesthetic vision to achieve the most beautiful, balanced, and natural results, and the surgeon you chose absolutely makes a difference. We invite you to schedule a consultation to discuss tuberous breast correction in NYC with Dr. Kolker, and look forward to warmly welcoming you to our practice.

1. Type I Tuberous Breast Deformity – generally a milder form with lower-inner quadrant breast constriction and some breast droop
2. Type II Tuberous Breast Deformity – varying presentation with more lower pole constriction, breast hypoplasia, and areolar herniation
3. Type III Tuberous Breast Deformity – the most severe form

1. The incision location through which the shaping maneuvers are performed (and the breast implant is introduced)
2. The type of breast implant, silicone or saline
3. The incision type for correction and control of areolar herniation, asymmetry, deformity or ptosis (breast droop)
4. The pocket placement of the implant relative to the chest muscle
5. The number of stages required to achieve the best tuberous breast results

The specific tuberous breast correction plan will be formulated based on your innate anatomy, tuberous breast features and breast shape, and on your personal preferences. Dr. Kolker will carefully discuss all of these factors with you, and will design the best tuberous breast correction method that is uniquely personalized to achieve your goals.