Tuberous breasts

The tuberous breasts or sometimes called constricted, are from a very particular breast condition, which is characterised by breasts, that in general, have larger areolas than usual, with very little deveopment of the superior area and also in the inferior area. A large part of the breast tissue is just behind the areola, making the underside very flat and upper side almost absent.

The patients who have tuberous breasts and come to us, are in general young patients, who are looking for a breast enlargement.They tend to have two things in common. Firstly they say that they have very small breasts, and they want to enlarge. Secondly, that apart from being small, they are a strange shape, not pretty to look at or are sagging.

This is generally caused by a problem in their development. The breasts dont develop as they should and they acquire this tube like aspect.These patients, what they need is a breast enlargement surgery, but slightly special. We have to treat and correct the cause that has provoked the distinct aspect of the breasts. We have to be able to break the ring that they have behind the areola so that the breast can expand when the implant is placed. Therefore the incision is done in the areola. Also many of these patients have large areolas, sometimes disproporcionate to the mammary volume as before, they can also be sagging, so they become good candidates for a areola reduction and also a areola lift.

Tuberous breasts

By using an incision in the areola (or around the areola depending on if we need to reduce or lift it) we make a pocket where we introduce the implant. This implant can be placed under the muscle, or above the muscle. We cut the constricting ring so that the breast can expand, whilst placing the implant.

There are various types of implants. Apart from the size, the implants can be divided into round implants or anatomical implants. The round implant, has exactly this shape, round, from the front and from the side. The anatomical implant has a shape decribed like a droplet of wáter. It has more volume under than above, more likeliness to a breasts natural shape. In surgery of breast reconstruction or tuberous breasts we tend to choose the anatomical implants. This implant is characteristic because of the extra volume on the underside, giving the breast a more natural shape. The use of round implants is also possible, depends on what the patient prefers. The result is a more stylish figure, more harmonic with the rest of the body, you will feel better, have more confidence in yourself and your quality of life will improve greatly.

Duration of the intervention

1 hour

Hospital Stay

24 hours

Time off work

7 days from an office job. 15 days of a more intense job.


After 4 weeks you can start light exercise. 3 months for any sport.


In the fold of the breast or in the areola. With Urgotouch laser , we can obtain better results.

Mamas Tuberosas Mamas Tuberosas

Frequently asked questions

In general we recommend that any surgical intervention be from 18 years of age. In some cases, due to the psycological effects of a total lack of breasts, the intervention could be from 16 years of age, with parental consent from both or one of the parents/tutors.

We have a system, that with a series of external implants which we place below the bra and with a special vest over the top, which simulates the final result. We can change the size, the height and the projection of this, so that you can see how much volume you will have and also the bra size, from as soon as your first consultation.

The pocket, is the space where we insert the implants, it can be below or above the muscle. The decision depends on many factors. Of the previous volume of the breasts, the type of exercise that the patient usually does, the type of breasts that she has to start with. The breast enlargement surgery is very individual. Every case is distinct, and theres no one technique that fits with every woman. In Valverde & Arpino we will assess your case and you will obtain all of the clear concepts that we have.

You can carry out exercise and lift heavy objects  one month after surgery. If you can, I would recommend to not lift weights in the gym as this implies the use of the pectoral muscles, until at least three months have passed.

Breast prothesis last for many years. We have seen patients with prothesis of over 20 years of age and in perfect conditions. But you should know that although we use the best quality that exist on the market, they still need to be changed, they dont last a lifetime.

You can travel no problem by plane after the surgery. The implants do not explode nor anything similar.

By carring out a mammary ultrasound is ususally sufficient to know if everything is ok. In any case we have a protocol of check ups and the necessary tests depending on the time that has passed since your surgery. We will give you instructions of how to continue as the years pass.

We recommend that you use a sports bra during the first month after surgery. After this, and until 3 months after surgery, we recommend any bra, but without underwire. From your third month revisión you can wear any bra that you wish.

The aspect of your breasts, after a pregnancy depends on the increase in volume that you have, the time you breast feed, if you have stretch marks or not, etc etc. There are many factors involved making it difficult to say exactly.

After the surgery you will be uncomfortable. You will feel like you have a sensation of muscle soreness, of tightness and some pressure. In some patients, pain. You will have medication prescribed for any pain, so that in general, it will be the uncomfortableness when you go to bed, the bandage, the antibiotics etc, more than any pain.

The prothesis are capable of enduring impacts of high energy. We have seen patients who have suffered traffic accidents of high energy and their prothesis were in perfect condition. Lets say, they withold very well, but everything has a limit.

There are many types of implants, according to its surface and composition, but in general we tend to divide between round or anatomical. The round implants give more volume on the upper area and the anatomical give a more natural result. It all depends on the breasts of the patient, of the patients  tastes and preferences. Our plastic surgeons will explain, in your particular case, which type of result can be found wich each implant.

Primera Consulta

Your first consultation

At the first consultation, which is free and non compromisal, you will speak with our doctors. They will ask a few questions about basic health background and you can comment about what type of result you would like, what type of chest you are looking for. You can have a try of the implants so that when you leave you know how you will look. They will explain the surgical technique, the types of implants, the risks, the benefits and the costs. This consultation, can be in person or by video phonecall. You are in no way obliged, nor pressured, to fulfill the surgery after this informative consultation. Our team of surgeons will be happy to answer any questions you may have.

Dia de la cirugia

On the day of surgery

The tuberous breast surgery with breast augmentation, is an intervention done under general aneasthetic and requires one nights stay in the hospital. You will be given a room upon arrival and then you will be taken to the operating theatre, where our doctors will speak with you and respond to any last minute questions. You will meet the rest of the surgical team, nurses, auxiliares etc. Photos and a video will be taken. We will mark the anatomy areas to be treated, they will explain once again where the incisions will be made. You will be given aneasthesia so there is no pain from the operated areas during your hospital stay. The organised incisions will be made and the pocket designed in acordance with the implant chosen as planned.Once the hemostasis is done, the implant is placed and the wound is closed. At this time we can use the laser Urgotouch so that the scar is less visible. The stitches are dissolvable so they do not need to be removed. Its not usual for drainage to be fitted. You will leave the operating theatre with a compressive bandage so that your breasts inflame the least possible.

En tu casa

At home

You will be accompanied by our team at all times, during your recuperation. You will have the compressive bandage as placed after the surgery which we will change at the next consultation, three or four days after surgery, and we will supply you with a sports bra which will need to be worn for the first month. You will need to take antibiotics and painkillers. Its normal that you may have some bruising which will disappear with the recommendations that we will give you. Our surgeons will tell you, how long before you can return to work. Also, when you can return to exercising or when you can drive again. Its better not to smoke until a few weeks have passed, as tobacco causes the scarring to take longer. The bruises and inflammation will reduce and after a couple of weeks you will see the final result. You will always have a contact telephone number, so you can call if you need anything, also in English.


Check ups

All of the check ups until given the all clear, are included in your quote. The patients return to our clinic 3-4 days after surgery, once discharged from the hospital. The next visit is a week after surgery, two weeks after, one month later, at three months and then finally at six months later and anything else you may need until the all clear is given. All of the check ups and cures are done by our plastic surgeons. The will dedicate all of the time necessary for you to feel comfortable and guided at all times. You will have the use of a telephone number to contact us with anything you need, also in English. If its the case that you are in another country, the frequency of the check ups is exactly the same, but obviously they will be done telematically.

¿Why Valverde & Arpino?

All plastic surgery is destined to improve how the patient sees themselves. The patients will feel better, after seeing the improvement. It will lift their self-esteem. Their self-confidence also. If you feel better about yourself, others will notice this and you will enter a positive spiral to want to look after yoursel more, to be healthier. All this results in a greater mental health. After many years and thousands of patients, we can say, that this will also happen with you.

VA - Doctores

Ask for a completely free and non compromisal appointment with our plastic surgeons

Our clinics are in Alicante, Benidorm and Denia. Here you can talk about costs, the possibility to finance and any other questions you may have.

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