Sydney Coleman Explains the Tuberous Breast Deformity
What is a Tuberous Breast?

Tuberous breasts are the result of a developmental deformity. As the breasts are growing in adolescence, the lower half does not develop normally. A normal breast has a gentle downward sloping curve in the lower portion (see left above). The skin and underlying tissues of a tuberous breast (see above, right) do not grow normally due to a constriction in the lower half of the breast. This leaves the lower breast with a “tubular” appearance because there is not enough skin or fullness below the areola (darker skin around the nipple). A tuberous breast is often complicated by an areola that is large, prominent or even “herniating” (protruding outward in an unnatural way). In many tuberous breasts, the nipple points downward or droops. Most women who present with this problem are affected in both breasts, but the condition can be present on just one side as well. Tuberous breasts vary in severity, and are actually fairly common, much more common that people realize. Often, however, they go undetected, due to ignorance of the examining physician, or embarrassment on the part of the patient.

An absence of fullness and lack of sufficient skin of the lower breast results in the aesthetically unappealing appearance in this young woman. This creates the “tuberous” appearance as described above, where the breast resembles a tube rather than a normal breast.

This is a more normal appearing tuberous breast, but note that the lower breast is decidedly deficient in skin and fullness. The areola protrudes over the lower breast skin.
`

This woman just thought that she had small breasts, until she discovered on the internet that she had a correctable deformity. In some cases, insurance may cover some of the expense.
Tuberous breasts are difficult problems that are best solved with Coleman fat grafting. Next week, Dr. Coleman will explain in a Blog post his unique, successful method to naturally reconstruct this surprisingly common deformity.
–Written by the Staff at TriBeCa Plastic Surgery
Blog posts on tuberous breasts.
How Can We Correct a Tuberous Breast?
Remarkable case of tubular breast correction with Coleman fat grafting
Twelve year follow-up of tuberous breast correction
FOR MORE INFORMATION ON BREAST FAT GRAFTING, PLEASE GO TO THE LIPOSTRUCTURE WEBSITE.
Check out these links for more information on fat grafting to the breasts:
Coleman Shows Longevity of Fat Grafting to the Breasts
New York Times Reports on Fat Grafting to the Breast
Combining the BRAVA system with Fat Grafting to the Breast
Fat Grafting to solve problems with Breast Implants
Safety concerns with fat grafting to the breast
The American Society of Plastic Surgery’s Position of Fat Grafting to the Breast
Dr. Sydney Coleman demonstrates Breast Reconstruction with LipoStructure on The Doctors
Coleman lectures on fat grafting for breast reconstruction at the American College of Surgeons
Breast Augmentation Via Fat Grafting From “Plastic Surgery Practice”
Breast Implant Problems Solved with Coleman Fat Grafting
Fat Grafting to the Breast Revisited: Safety and Efficacy. Plastic & Reconstructive Surgery. 119(3):775-785, March 2007. Coleman, Sydney R. M.D.; Saboeiro, Alesia P. M.D.
Subtle Expert Permanent Makeup available at TriBeCa Plastic Surgery
Tribeca Plastic Surgery is pleased to announce that Sally Hayes, renowned expert in the application of permanent make-up is now seeing clients in our office suite at 44 Hudson Street in New York City. Sally has been doing permanent make-up since 1986, and has a national reputation among the plastic surgery community.
Why permanent make-up? As we age, not only do wrinkling and sagging occur, but the brows and lips become less defined, and the eyes appear smaller. Permanent makeup can help with these problems, while fat grafting and fillers correct the folds, wrinkles and sagging skin.
Sally is based in Scottsdale, Arizona, but travels to New York, Los Angeles and Las Vegas regularly to perform her magic. Sally believes that less is more, and her permanent brows appear natural. Her eyeliner application is subtle (see photograph below). Lip color and shape can be subtly enhanced as well. Sally’s type of permanent make-up can be so understated that even men can consider using it to enhancing their appearance. Sally uses the latest technology and pigments, and matches colors to suit skin tones.

One week after permanent makeup used as eyeliner and to enhance eyebrows
Sally’s full story, before and after photos and testimonials can be viewed on her website, permanentmakeup.com, and you can call her directly to schedule appointments at 718 644-2366. Sally will be here on a monthly basis for 2 days at a time, and her schedule fills quickly, so call now!
FOR MORE INFORMATION ON ENHANCING YOUR APPEARANCE, PLEASE GO TO THE LIPOSTRUCTURE WEBSITE.
Sydney Coleman Shows Longevity of Breast Fat Grafting
Dr. Sydney Coleman Began Grafting Fat to the Breast 17 Years Ago
& Demonstrates Long-Lasting Natural Results
Dr. Sydney Coleman, known as the pioneer of fat grafting, has been placing autologous (one’s own) fat into the breasts since 1995 – much longer than any other practicing plastic surgeon. He had amazing success with using the Coleman fat grafting technique to the breast in his earliest patients. This lead him to start using fat not only to enlarge breasts or make one side match the other, but also to cover and soften implants, fill in the “dents” left from lumpectomy, correct tuberous breasts (a congenital deformity) and enhance primary reconstructions after mastectomy. He observed that fat also helped repair radiation and solar (sun) damage, and can often help to soften retracted scarring, chronic post-mastectomy pain, and restore sensitivity to the breast. Dr. Coleman published his amazing results in 2007 with his associate, Alesia Saboeiro. This sparked a revolution in plastic surgery, and scientific studies worldwide are now trying to explain these amazing results.
Below, on the left is a patient with tuberous breasts before fat grafting surgery. On the right is the same patient 14years after the last of two fat grafting procedures to her breasts. Note the dramatic enlargement of the lower part of her breasts, and the completely natural and beautiful appearance 14 years later. Even with such dramatic changes, there are no telltale signs of having had a breast procedure. Incisions for passage of the cannula to place the fat are tiny, and placed in the fold under the breast and in the border of the areola; the scars are often all but invisible.

Tuberous Breast Correction 12 years after last fat grafting

- Tuberous Brest Side View with 12 year followup
–Written by the Staff at TriBeCa Plastic Surgery
Blog posts on tuberous breasts.
What is a Tuberous Breast?
How Can We Correct a Tuberous Breast?
Remarkable case of tubular breast correction with Coleman fat grafting
FOR MORE INFORMATION ON BREAST FAT GRAFTING, PLEASE GO TO THE LIPOSTRUCTURE WEBSITE.
Check out these links for more information on fat grafting to the breasts:
New York Times Reports on Fat Grafting to the Breast
Combining the BRAVA system with Fat Grafting to the Breast
Fat Grafting to solve problems with Breast Implants
Safety concerns with fat grafting to the breast
The American Society of Plastic Surgery’s Position of Fat Grafting to the Breast
Dr. Sydney Coleman demonstrates Breast Reconstruction with LipoStructure on The Doctors
Coleman lectures on fat grafting for breast reconstruction at the American College of Surgeons
Breast Augmentation Via Fat Grafting From “Plastic Surgery Practice”
Breast Implant Problems Solved with Coleman Fat Grafting
Fat Grafting to the Breast Revisited: Safety and Efficacy. Plastic & Reconstructive Surgery. 119(3):775-785, March 2007. Coleman, Sydney R. M.D.; Saboeiro, Alesia P. M.D.
Catherine Saint Louis wrote an article in the Style Section of the New York Times on fat grafting to the breasts on. Please click on this the following URL to take you to the article:
http://www.nytimes.com/2009/12/03/fashion/03skin.html?_r=1&ref=fashion
Ms. Saint Louis did a great deal of research and spoke to me for close to two hours over three different conversations. She also interviewed one of my patients who has an eleven year follow-up (last paragraph of the article).
© Coleman 2012