Surgery for Constricted or Tuberous breasts is usually performed to correct breasts that are somewhat malformed since puberty. I have been performing Constricted or Tuberous Breast Surgery in NYC for over 25 years. Features frequently associated with Constricted or Tuberous Breasts include asymmetry, breast ptosis or sagging, very tight inframammary folds and large, deformed nipple areolar complexes. Many women, especially teenagers who have reached puberty, feel an extreme sense of self consciousness secondary to the unusual shape and size of their breasts. Constricted or Tuberous Breast Surgery is designed to alleviate these problems. It sometimes involves the removal of skin and usually requires insertion of breast implants with release of constricted tissue from the lower poles of the breasts to provide a perkier, more attractive appearance. If the size of the areola (the tissue surrounding the nipple) is also excessive, this may be corrected(reduced) during this breast surgery.

The consultation process (plan to spend at least one hour), includes an in-depth discussion about your desires with regard to size, shape and dimensions of your breasts after Constricted or Tuberous Breast Surgery. It is the surgeon’s task to explain all aspects of the operation, the pros and cons, and most importantly, the concept of realistic expectations with regard to your postoperative result. Unfortunately, health insurance does not cover the costs of this surgery. I prefer to meet a second time with each patient prior to surgery to assure complete understanding of the her desires regarding her Constricted or Tuberous Breast Surgery operation.

If you have concerns about the size and shape of your breasts, and they are causing problems described above, you may be a candidate for Constrictive or Tuberous Breast Surgery. This type of surgery can greatly improve the size and shape of your breasts.

Candidates for this surgery include women who are realistic about what the surgery can afford them after a complete consultation. Younger women, who have reached puberty, are also candidates. Pregnancy may stretch the breasts again after surgery, offsetting the results of the procedure, and ability to breast feed may be affected, depending on the technique utilized. Scars on the breasts are an inevitable consequence of this type of surgery, but I close the skin with great care and offer advice and support regarding scar care after surgery.

There are various techniques employed for Constricted or Tuberous Breast Surgery, and I am adept at all of them.  I try to choose the best procedure to match your particular needs, desires, anatomy and skin type. If lifting of the breasts and/or nipples is needed, anchor shaped scars or lollipop shaped scars are necessary.  Sometimes Breast Augmentation alone can correct minor Constricted or Tuberous Breast deformities.

Depending on the size of your breasts, the desired post-operative size and the technique utilized, Constricted or Tuberous Breast Surgery may take anywhere from 2 to 4 hours.

The surgery is performed in our office-based ambulatory facility. Usually, general anesthesia is required, administered by board certified anesthesiologists or anesthetists.

If breast lift is needed, the nipple remains attached to the breast, but is moved upward, back to a more aesthetic position. This technique, preservers the nerves, and sensation and the ability to breast feed is usually maintained.

After the operation, your breasts will be bandaged and placed in a surgical bra. The dressings are usually changed a few days following the procedure and stitches are ready to begin being removed approximately one week later. The healing process may be affected by smoking and concurrent medical problems such as diabetes. Occasionally, small areas of open skin at the corners of the incisions may occur. These are typically treated with antibiotic ointments and heal without great concern.

If you choose an outpatient setting,  the Constricted or Tuberous Breast Surgery is performed in my state of the art, fully certified operative suite in my office located on the Upper East Side in NYC.  Depending on the procedure, I utilize either general anesthesia, or local anesthesia with sedation, administered by one of our experienced, board certified anesthesiologists or anesthetists. Recovery after surgery takes 1-2 hours, with my RN at your side at all times. For your safety, I require that a friend, family member or private duty nurse accompany you home and spend at least one night with you.  You will be given a followup appointment with me in 1-3 days.

Most of my patients return to work within 4-7 days postoperatively, and pain after surgery is well controlled with pain medication. My staff and I will counsel you regarding all aspects of scar care to achieve the best possible, least noticeable scars.

I have a great deal of experience with all aspects of Constricted or Tuberous Breast Surgery, and comfortably possess the required expertise to allow me to achieve the best possible results for you.

If you have unusually shaped constricted or tuberous breasts, which create a sense of extreme self consciousness, you may be a candidate for Constricted or Tuberous Breast Surgery. Give me a call!


In order to lift the breasts, and essentially rebuild the breast mound, excessive skin and constricted breast tissue must be released or removed (cut away), tissue shifted, and nipples moved upwards. This requires cutting the skin, and, unfortunately scars result. However, Constricted or Tuberous Breast  Surgery carries the highest level of patient satisfaction, even with the scarring!


Many times, breast feeding after Constricted or Tuberous Breast Surgery is possible, but not guaranteed. Factors like surgical technique, anatomy and quality of milk producing tissue remaining after surgery influence the ability to breast feed postoperatively.


Ideally, your daughter should be healthy and fully developed, meaning that puberty has been reached. Usually a young woman can consider Constricted or Tuberous Breast Surgery after reaching age 16, a bit older if breast implants are needed. Any sooner, she may not be mentally mature enough to handle the surgery.


Smoking significantly affects the way you heal and the quality of your scarring. Nicotine causes blood vessels to constrict, choking the flow of blood to your skin and breast tissue. Blood carries oxygen and nutrients, so decreasing that supply can cause vital tissue to die after being cut during surgery. You must agree to stop smoking for at least 2 weeks before and 2 weeks after your operation, or I will not agree to do your surgery, it is THAT important!


Nipple sensation and nipple erection should not be affected, but you may experience greater or less sensation for a brief time after surgery while recovering, but sensation should return to normal shortly thereafter.