Woman's breasts play a fundamental role in the self esteem, perception of feminity, psychological confidence, sexual sphere, gender assignment and acceptance of body morphology.
There exists a very specific type of breast with a tubular shape, large areolas, herniated look, high submammary fold crease, empty cleavage and overall weird shape, which is congenitally born and genetically inherited, requiring treatment by means of breast gland plasties, areola reduction, submammary crease fold descent, breast implants insertion and preferable polyurethane coated anatomical implants to shape the breast and prevent the migration thanks to the bio velcro of the polyurethane shell.
Best state of the art tuberous breast plasty is Dr. Nogueira's 4 flaps technique, associated with areola reduction and polyurethane coated, cohesive gel filled and anatomical shape breast implants placed in subfascial plane.