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COVID-19 Reopening Updates View Update Virtual Consultation

Tubular Breast DeformitiesThe goal of breast augmentation surgery in patients with tubular breasts is to produce a normal breast shape by releasing banding at the base of the breasts, creating a larger and more rounded breast envelope, and reducing the size of the areola and nipple. I have experience performing this type of surgery and achieved excellent results for patients who have tubular breast deformities. If you suffer from this condition, we invite you to schedule a consultation at Marin Aesthetics to find out if you are a good candidate for breast surgery.

Tubular Breast Surgery Candidates

I have treated patients with mild to severe tubular breast deformities. Common characteristics of the condition include:

  • A high breast fold
  • Narrow base diameter
  • Breasts that have an elongated, tube-like breast shape
  • Droopy breasts or nipples that point downward
  • A minimal amount of breast tissue
  • A wide space between the breasts
  • Breast asymmetry
  • Large areolas
  • Protruding nipples


Breast augmentation cases for patients with tubular breast deformities are more complicated than regular cases; reconstructive techniques may be required to release any constrictions on the lower half of the breasts, spread out the breast tissue, and reshape the breasts to a more pleasing aesthetic. For some patients, mastopexy techniques should be performed to further reshape the breasts and address the appearance of the areolas and nipples.

Breast surgery on tubular breasts may involve:

  • Internal incisions to release banded or constricted breast tissue; this will allow us to create a larger breast envelope and prevent or minimize the double-bubble effect that can occur after breast implants are placed in patients with tuberous breast deformities
  • Lowering the crease of the breast to create a larger envelope for the breast tissue and/or implant
  • Widening the breast crease to correct a narrow base diameter
  • Use of a tissue expander expands the breast envelope
  • Placement of breast implants to increase the size and shape of the breasts
  • Breast lift surgery to correct a long skin envelope, treat ptosis and reduce the size and projection of the nipples and areolas


In cases of mild tubular breast deformities, I’m able to achieve excellent outcomes and produce breasts that look normal. Patients with significant tubular breast deformities can expect an improved aesthetic, though it may take more time for the final outcome to become apparent. For example, patients with a high breast fold may notice a visible crease in the breast that results in a double bubble appearance. Patients should wait at least six months for any visible creases on the breasts to resolve.

Tubular breast deformities can be a big source of body image issues in patients. I understand how tubular breasts can diminish a patient’s self-esteem and overall quality of life. After an in-office examination, we can formulate a treatment plan to improve the shape of the breasts and appearance of the areolas and nipples.

*The content in this blog is developed to spread the awareness towards plastic surgery. Our blog is not intended to serve as a replacement for an actual in-office consultation with Dr. Marin. As such, the information within this blog reflects the unique cases of our individual patients.

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In light of the state wide restrictions on non-essential businesses to help reduce the spread of COVID-19, we are rescheduling all of our elective appointments until the global circumstances improve. Our necessary post-operative appointments will be made, as needed, to address immediate surgical concerns such as suture removal and acute postoperative issues. All non-acute follow up appointments, fillers and Botox will need to be postponed until after the quarantine period mid April. Our office will reach out to all patients who need to be rescheduled.

We will be offering new patient virtual consultations online and via Skype that can be scheduled through our website or by emailing Also, we will offer follow-up appointments in the same manner to help manage our patients’ concerns while still respecting the need for social distancing.

We appreciate all of your understanding during these difficult times for all of us.

Stay safe,

Dr. Main and the Marin Aesthetics Team