Team of Bodenseeklinik
Swiss Praxis Prof. Mang Swiss Praxis Prof. Mang
The Bodenseeklinik

Breast malformations

(Tubular breast, hose breast, trunk)

Breast malformations

The symmetry, shape, breast shape and size of the breast are closely connected to the body's own feeling, self-worth and perception of femininity for many women. If a malformation or a tubular breast occurs in puberty, a considerable pressure of suffering frequently arises. The breast development can be disturbed in individual or several breast quadrants, so that the breast tissue, the mammary gland tissue or the volume grow unequally distributed or are partially underdeveloped. Also in a tubular breast the shape of the breast and the nipples are undeveloped depending on the findings. The tubular breast is inherited and can occur on one side of the breast or on both sides. Such a malformation of the breast often leads to a bean breast, tube breast or tube breast – all names for the tubular breast, one of the most commonly congenital breast malformations. For the affected women the tubular breast also often lacks the relation to the body.

Breast malformations – when will surgery?

There are different malformations of the breast and the nipple. Operations are possible in the following breast malformations:

  • In a tubular breast (also hose or trunk), it can occur on one or both sides and has also been recognized internationally as a disease since 2014.
  • In a Poland or Amazon syndrome – this is the absence of the breast muscle (can also affect men).
  • In a Amasti and athelie (Fealing breast / nipple)
  • or Polymasts and polytheliline (additional mammary gland tissue/excessary nipples).
Tubular breast – classification

Tubular breast – classification

Tubular breast type 1: The lower inner quadrant of the breast is missing or is underdeveloped.

Tubular breast type 2: Both lower quadrants of the breast are not present or are underdeveloped. This reduces the volume of the breast. The underbow fold sits too high. The distance between nipple and underbow fold is shortened. The skin of the breast is sufficiently applied. The nipples can show down.

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Visible features of tubular breast

The tubular breast is therefore a misformation, which many affected women heavily strained with high suffering pressure. Visible features may be:

  • large nipple
  • lateral looking breast, by lower wound inner quadrants of the breast
  • pointed shape of the breast, by lower developed quadrants of the breast and missing skin
  • small distance between nipples and chest folds
  • hose breast, due to missing quadrants of the breast
  • hanging chest with small base of the chest

Facts and figures of tubular breast

  • OP duration: 1 to 2.5 hours
  • Treatment options/Brust OP include:
    • breast enlargement with breast implants,
    • breast enlargement with breast implants and self-fat,
    • breast enlargement,
    • pure fat treatment (lipofilling),
    • breast tightening and redesign techniques,
    • correction of nipples,
    • Compensation of pronounced asymmetries
  • Anesthesia: Video-assisted general anesthesia
  • Clinical stay: 2-4 days
  • Corporate capacity: after 1 week
  • Sports: After 2 weeks
  • Controls: After 2/3 weeks, 6 months and 1 year
  • End result: After 6-12 months
  • the costs are 4,000,- Euro plus additional costs
The tubular breast

The tubular breast

The tubular breast is formed during embryonic development, with breast growth being disturbed at certain points of the breast. The gland tissue of the breast develops unevenly, the breast base remains narrow, the shape of the breast acts elongated or tubular. The image of a tube breast or tube breast is often visually visible. Many affected women report a clear asymmetry, a bulged nipple or the underdevelopment of breast tissue in the lower breast area.

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Correction of breast malformations – so it is done

OP methods
Since the special findings in a tubular breast can be very different, the methods of breast surgery can be different accordingly. In the treatment of the tubular breast, breast enlargement with implants, nipple reductions, breast tightening as various tightening and redesign measures are considered.

Treatment options/Brust OP include:

  • Breast enlargement with breast implants
  • Breast enlargement with breast implants and self-fat

Breast enlargement with breast tightening

  • pure self-fat treatment (Lipofilling)
  • Breast tightening and redesign techniques
  • Correction of nipples
  • Compensation of pronounced asymmetries

When treating the tubular breast, the choice of the correct treatment method is crucial. Depending on the severity of the malformation, various surgical variants are used, for example the release of the breast base, the lowering of the breast fold, the compensation of the breast shape and the harmonious adaptation of the breast shape, as well as the compensation of breast tissue by breast enlargement.

Correction of tubular breast/treatment of a tubular breast
Due to the wide range of findings of the deformity of the tubular breast, there is no uniform treatment method of surgical correction with breast op. The versatility of the tubular breast requires the creation of an individual op concept, adapted to the findings and wishes of a specific patient.

Reduced breast volume/breast tissue can be filled with implants by breast enlargement. Nozzle protrusions are corrected by special surgical methods. Enlarged nipples can be reduced by tightening corrections. If there are larger asymmetries with skin excesses, further tightening measures may be necessary. Own grease underspraying can also be necessary. The tubular breast OP as an intervention is always carried out in general anesthesia and takes about 1-2.5 hours. The stationary stay as a treatment is about 2-4 days. Postoperatively, the breast is wound and the day after the operation, the patient is adjusted a special compression bra.

Procedure of a breast correction in the tubular breast
From initial consultation to aftercare

Before an operation, detailed advice is provided. In the practice of the Bodenseeklinik, the specialist team for plastic surgery around Dr. Jens Altmann, takes time to analyze the individual findings, the wishes and the anatomical requirements of each patient. The initial presentation clarifies causes, symptoms, expectations, treatment options and possible risks. Also breastfeeding after a breast correction is thematized.

After the conversation, an individual treatment and operation concept is developed. The operation is carried out in general anesthesia and takes 1 to 2.5 hours. The aim is a harmonious breast shape, a balance of the volume and the best possible correction of malformation. Depending on the severity of the findings, the intervention can be different in size.

What complications can occur in a breast correction operation?
Despite the greatest care, no operation is without risk. There can always occur bleeding and post-bleeding or infects and healing disorders. Feeling disorders in the breast normalize within a few months. If implants are used in breast enlargement when correcting the tubular breast, then a hardening (capselfibrose) can occur in small cases which would result in a correction operation. Own fat underspraying can rarely lead to local infects

Regeneration time: Recommended behaviour

We recommend a reduction of one week after the operation to not endanger the result. The thread material used is self-resolving, so that the thread tension is eliminated. In the course of a check check after 2-3 weeks after the procedure, we only remove individual thread nodes in practice. The bra should be worn by the affected women as a rule 6-8 weeks.

The scar care begins after 3 weeks with special creams. Sports activities can be started for the lower extremity after 2 weeks and for the upper extremity after 8 weeks.

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Preservation times and aftertreatment

  • one to two weeks after surgery
  • after three weeks inspection and removal of single thread knots
  • for 6 – 8 weeks after the surgery wearing a sports bra’s
  • scar care with special creams
  • Sports for the lower extremity after 2 weeks possible
  • Sports for the upper extremity and the entire body after 8 weeks possible
  • Avoid direct sunlight of scars in the first 6 months
Why to correct the tubular breast in the Lake Constance Hospital?

Why to correct the tubular breast in the Lake Constance Hospital?

For decades, the Bodenseeklinik has been one of the leading private clinics for plastic and aesthetic surgery in Germany. With state-of-the-art techniques, high quality standards and an experienced expert led by Dr. Jens Altmann, specialist in plastic surgery, we offer the highest level of safety, hygiene, empathy and professionalism.

The individual adaptation of the treatment ensures that affected women receive a result corresponding to their desired form and their personal expression.

FAQ

How long is the treatment time?
The treatment time is generally 1 to 3 hours.
When am I re-corporate?
After about a week. However, the compression bra should continue to be worn.
Can I shut up after surgery?
In many cases breastfeeding is still possible; this depends on the method. It also depends on the existing type of tubular breast.
When can I lift again after treating a tubular breast?
Light load is possible after two weeks, full load capacity after about eight weeks.
What treatment is the best?
The choice depends on the severity of malformation and is clarified in the course of consultation, as there is no standard intervention
How long does complete healing last?
The regeneration time is about 2 to 3 weeks, scars mature over several months.
How is a tubular breast operated?
Depending on the findings of the tubular breast, the correction with inserting breast implants for breast enlargement takes place during operation. If there is additionally a tube breast, a correction with breast tightening is also necessary and self-fat.
What costs a tubular breast Op
Depending on the findings of the breast and the nipples and choice of surgical method, the price is from approx. 4000€ plus additional costs
When do I see a result after surgery in tubular breast
Already on the first day after the procedure, a control takes place before a mirror

Do you have questions about treatment?

Our reception team will be happy to help you with general ambiguities.

Contact us via the online form or call us.

Call now:
+49 (0)8382 260 180
Online form

To be noted:

Preliminary non-binding information on the course of treatment or a rough cost estimate cannot replace an individual assessment by a doctor.

Receive your personal cost estimate and, if necessary, appointment suggestions for treatment You only after a detailed medical consultation and examination. For this purpose, please arrange a personal meeting with us.