Tubular breasts only concern a small percentage of women who have this breast abnormality during puberty. The breast with this abnormality stops growing and its appearance resembles a tube. The cause of this malformation, to this day, has not been discovered. Plastic surgery can correct these deformities.
If breast prostheses (breast augmentation) are to be used, a size selection is made that will assist the surgeon in achieving the best possible result and subsequently satisfy the patient.
The above surgery is performed under general anesthesia and usually requires one day of hospitalization. The duration of the surgery is 2-3 hours.
The surgical correction is usually performed by placing a silicone implant while reshaping the breast. Rarely, in severe cases of tubular breasts rehabilitation is needed two times with tissue stretching.
The plastic surgeon prepares the “pocket” under the breast where the prosthesis will be implanted, which is placed in a location that highlights the shape of the breast. The place where the prosthesis is placed is either under the mass gland or the underlying muscle.
A drainage tube is most often left inside each breast to prevent fluids from accumulating around the prosthesis after surgery. This tube is usually removed the same day or the day after surgery.
At the end of the surgery, adhesive tapes and a special bandage are applied, creating a makeshift bra that is replaced with the normal bra 48 hours after surgery.
A silicone prosthesis, either gel or saline, has a specific lifespan. The companies producing the prostheses estimate it at around 10 – 15 years. This does not mean that a prosthesis cannot be changed sooner or later. The fact is that there is no guarantee that they will never be changed. A woman with silicone prostheses should be aware that there is a risk at some point to undergo a prosthesis-changing surgery. Of course, if no problems have occurred, the prostheses can remain in the breast for as long as the woman wishes.
This is more common in saline prostheses, but can also occur in silicone gel prostheses. In this case, the woman sees and feels the folds of the prosthesis, mainly under and outward of the breast. To avoid this, the doctor makes enough space for the prosthesis intraoperatively. If this still happens, there are surgical solutions to solve this problem. These are decided depending on the situation because each case is different.
The creation of a capsule around the prosthesis is unavoidable. It is a normal process of the body to isolate a foreign organ. In some cases, however, this capsule can become more prominent and thick and press on the prosthesis, causing pain and deformation of the breast. There are 4 stages of this condition. The likelihood of developing a problematic capsule cannot be measured because it depends on many factors, such as the type of prosthesis and the surgical technique. In case the capsule creates symptoms, such as pain and aesthetic deformity, it should be surgically corrected.
Such a phenomenon can occur after a severe injury in the chest area, less frequently due to a mistake in the construction of the prosthesis, or more often after years due to the age of the prosthesis. In cases of saline prostheses, it may be a valve problem. In cases of silicone gel prostheses, usually, the silicone stays inside the capsule and does not diffuse into the surrounding tissues. Of course, all of this is preventable with routine and systematic breast examinations, which all women should undergo.
The final result is visible 1 year after surgery. Any corrections can be made at that time, but it should be noted that absolute symmetry between the breasts does not exist, as it is impossible by nature.
Complications in plastic surgery operations are not common but it is necessary to be aware of them at the first appointment.
This text may give rise to new questions. We are at your disposal for any other information.