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What happens during tubular breast correction surgery in Orange County?

Anesthesia

Before tubular breast correction surgery in Orange County, an intravenous line is set up to administer a general anesthesia for sedation. This is to ensure comfort during the procedure. Once anesthesia has begun, a solution of local anesthetics is injected into the area around the nipple-areola complex. This solution contains a combination of lidocaine, marcaine and epinephrine. Lidocaine and marcaine numb the surgical site for several hours, including after surgery, and decrease pain following surgery. Epinephrine constricts the blood vessels in order to reduce potential bleeding and/or bruising.

Incisions

The new diameter of the nipple-areola complex is marked and an incision is made where the mark is. Any excess areola skin is cut away. The incision is then extended into the breast tissue to beneath the breast. Then the inframammary fold is lowered. The constricted tissue of the lower portion of the breast is scored to release the tissue so it is able to expand. A pocket for the implant is created by dissecting beneath the muscle and then centered underneath the nipple-areola complex. The pocket is washed with an irrigation fluid that consists of three different antibiotics in order to reduce the risk of potential infection.

Implant Preparation

The breast implant is soaked in irrigation fluid, which consists of three different antibiotics that help minimize any potential infection. The implant is prepared and handled in only sterile conditions before it is inserted into the pocket that was created in the breast. Saline implants are checked over for integrity and then the air is removed out of them. A small volume of sterile saline is injected into the implants. The saline breast implant is rolled and inserted into the pocket. Silicone gel breast implants are pre-filled and therefore, do not need filling in the operating room. A technique referred to as “no touch”is used for placing the implants into the pockets. This technique involves sterile towels that are placed around the breasts, gloves washed in a sterile solution, the breasts being cleaned with a solution that has antibiotics and the implant having minimal contact with the surrounding breast skin. The “no touch” technique helps reduce the risk of possible infection by decreasing possible contact of foreign materials with the breast implant.

Implant Fill

Saline breast implants are filled via a closed-fill system. The breast implants are filled with sterile saline by way of sterile tubing. The saline goes from a sterile bag through this tubing and directly into the implant so there is no bacterial contamination of the saline while filling the implants. This is not needed for the pre-filled silicone breast implants.

Closure

Once the breast implants are filled with the sterile saline, the incisions are temporarily closed to check for breast symmetry and breast size, shape and form. The incisions are permanently closed when the desired goal has been met. Drains are rarely needed.

Completion of tubular breast correction surgery in Orange County involves circumferential tightening of the nipple-areola complex and placing the nipple area in a higher position on the breast. A sterile dressing is used to cover the incisions. Then a soft surgical bra is worn over the breasts. The scars from the incisions fade over time.

Tubular Breast Correction Surgery

Tubular breasts, referred to as tuberous breasts, is a congenital deformity that can occur when the breasts do not fully develop. This developmental disorder causes the breasts to be long and narrow, appearing oval as opposed to round. Tubular breasts are not round and the nipples hang low. They lack lower pole breast tissue, as well as skin, and have a tight inframammary fold. The distance from the nipple to the fold is incredibly short. The nipple-areola complex, the pigmented area around the nipple, is abnormally large in diameter, and may be herniated or bulging. Tubular breasts can be large or small with varying breast tissue volume. They may be symmetrical or asymmetrical, and one breast may be more malformed than the other. Women with tubular breasts often suffer from self-image problems, so breast reconstruction may be desired.

During the growth period of the breasts, if the breasts fail to fully develop and grow proportionally, tubular breasts can develop because of a lack of lower pole breast tissue and a high inframammary fold. Usually the breasts begin high on the chest and are widely spaced apart. They form a narrow, tube shape. Because the top of the breast is flat and the skin tighter, developing breast tissue is forced through the upper portion of the breast to the lower, looser portion, which causes the nipple-areola complex to be oversized and puffy.

Treatment for tubular breasts in Orange County is a little complicated, as it involves multiple procedures. Correcting tubular breasts requires using a silicone or saline breast implant to expand the lower portion of the breast, lowering the inframammary fold and reducing the nipple-areola complex bulge. The incisions and subsequent scars are similar to those created from breast augmentation surgery. In addition, scarring occurs around the circumference of the nipple-areola complex. Though correction of tubular breasts is a bit involved, this deformity typically leaves women self-conscious, so surgery is often sought after.

Since tubular breast correction surgery typically requires the use of breast implants, please visit the breast augmentation pages to learn more about the ins and outs of the procedure. These pages will go over the safety of implants, types of implants, implant placement, recovery following surgery and potential complications that could occur from breast augmentation or tuberous breast correction.

Tubular breast correction surgery can be challenging and requires expertise. The surgery can be completed in a single or multiple stage operation, which depends on the degree of tuberous deformity and breast asymmetry

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