Tuberous Breasts in Madrid, Marbella & Gibraltar | Dr. Marco Vricella
Dr. Marco Vricella, specialist in tuberous breast correction in Madrid

Tuberous breasts

Restore the natural shape, symmetry and harmony of your breasts. Highly personalised surgery for tuberous or constricted breast correction in Madrid, Marbella and Gibraltar.

Request a Consultation View Technique
Breast Surgery · Madrid

Tuberous breasts —
a definitive solution

+20
Years of experience
3
Severity grades
3
Clinics available
<2%
Complication rate

Tuberous breasts — also known as constricted or tubular breasts — are a congenital malformation that prevents the normal development of breast tissue. More common than widely thought, many patients take years to identify the condition due to a lack of awareness. It is characterised by a narrow breast base, tubular or elongated shape, large or herniated areolas and, in most cases, significant asymmetry between both breasts.

This condition affects both appearance and self-confidence, particularly during adolescence and periods of hormonal change. Surgical correction is the only definitive solution: it releases the constricted base, reshapes the breast gland, repositions and reduces the areola and, when the patient’s own volume is insufficient, incorporates an implant to optimise shape and projection.

Dr. Marco Vricella, a specialist in reconstructive and aesthetic breast surgery, designs every surgical plan on a fully individualised basis, taking into account the degree of constriction, the patient’s own breast volume and her personal goals. The result is a natural, symmetrical and harmonious breast, in proportion with the rest of the figure.

Meet the Doctor
Surgical Approach

The right technique
for each grade

Tuberous breast correction demands a reconstructive approach combined with precise aesthetic judgement. There is no single technique: Dr. Vricella selects the most appropriate procedure according to the degree of constriction, breast volume, associated ptosis and each patient’s individual goals.

Periareolar Technique with Implant

Indicated for mild to moderate degrees of constriction with insufficient breast volume. The incision is limited to the periareolar border: the constricted base is released, the herniated areola is reduced and repositioned, and an implant is placed to restore volume and projection with minimal scarring.

Grade I–II · Minimal Scarring

Mastopexy & Glandular Remodelling

For cases with significant ptosis and asymmetry in addition to constriction. Base release is combined with a mastopexy to reshape the gland and lift the nipple-areola complex. An implant may or may not be included depending on anatomy. Periareolar scar with or without a vertical component.

Grade II–III · Shape & Symmetry

Two-Stage Surgery

Reserved for the most complex cases. In a first operation, the constriction is released and the gland is reshaped; several months later, once the tissue has stabilised, implants are placed to optimise final volume and projection. This strategy maximises both safety and quality of outcome.

Grade III · Maximum Safety
Tuberous breast correction consultation with Dr. Marco Vricella in Madrid
Results · Benefits

Definitive correction —
shape, symmetry and harmony

Tuberous breast correction with Dr. Vricella combines reconstructive techniques with precise aesthetic judgement. The goal is to release the constriction of the breast tissue, reshape the gland and achieve natural, symmetrical and harmonious contours in proportion with the rest of the figure.

  • Definitive correction of the congenital malformation with natural and long-lasting results
  • Symmetrical and harmonious contour, suited to the patient’s anatomy and proportions
  • Reduction and repositioning of prominent or herniated areolas
  • 100% personalised surgical plan based on the degree of constriction and individual goals
  • Discreet scarring placed in anatomically low-visibility areas
  • Significant improvement in self-esteem and body image
Request a Correction Consultation
Post-operative · Recovery

A recovery
comparable to breast augmentation

Recovery after tuberous breast correction is comparable to a standard breast augmentation. Most patients can return to their daily routine within a few days, with discomfort managed with prescribed medication. Regular follow-up appointments are essential to ensure an optimal outcome.

  • Discharged same day or after 24 h — post-operative bra or compressive dressing from the outset
  • Week 1–2 — external sutures removed; scar care begins; return to non-physical work
  • 3–4 weeks — continued use of the post-operative bra; return to gentle exercise
  • 3–6 months — definitive result with the breast fully settled and scars maturing
Ask About Post-operative Care
Post-operative follow-up for tuberous breast correction — Dr. Marco Vricella
Indications

Are you a candidate for
tuberous breast correction?

Surgical correction of tuberous breasts is indicated for functional, aesthetic and psychological reasons. The most accurate way to determine this is through an individualised consultation, where Dr. Vricella will assess the degree of constriction, the extent of correction required and the most appropriate technique.

Ideal candidate profile

  • Narrow breast base with tubular or elongated breast shape
  • Large, prominent or herniated areolas
  • Significant asymmetry between both breasts
  • Impact on self-esteem, body image or relationships
  • Breast development complete (generally from 18 years of age)
  • Stable weight for at least 6 months prior to the procedure
  • Realistic expectations about the final surgical outcome

Additional considerations

  • Not recommended if pregnancy is planned in the near term (may affect breastfeeding)
  • Active smokers are advised to stop smoking at least 4 weeks before surgery
  • Complex cases may require two-stage surgery, with a gap of several months
  • Breastfeeding capacity may be affected depending on the technique used
  • Anticoagulants or other medications must be disclosed at consultation
  • Sufficient emotional readiness to manage the surgical process is required
The Process

From consultation
to result

01
Initial Consultation

Assessment of the degree of constriction, full morphological analysis, selection of the most appropriate technique and planning of the expected outcome. No commitment required.

02
Surgical Planning

Pre-operative studies, precise pre-operative design, implant selection where applicable, and coordination of the procedure in Madrid, Marbella or Gibraltar.

03
Procedure

Surgery under general anaesthesia in an accredited operating theatre. Average duration of 2 to 3 hours depending on the complexity of the case and the technique chosen. Discharge on the same day or within 24 hours.

04
Post-operative Follow-up

Reviews at 48 h, 1 week, 1 month and 3 months. Dr. Vricella’s team will accompany your recovery through to the definitive result in Madrid, Marbella and Gibraltar.

Frequently Asked Questions

Tuberous Breasts —
Your questions answered

The most frequently asked questions from patients considering tuberous breast correction in Madrid with Dr. Marco Vricella.

Tuberous breasts are a congenital malformation of breast development characterised by a narrow base, tubular or elongated shape, large or herniated areolas and frequent asymmetry. Diagnosis is made through physical examination during consultation and, when necessary, complementary diagnostic imaging. Many patients do not identify the condition until adolescence or when comparing with others.
There are mainly three grades of severity. Grade I involves constriction of the inferomedial quadrant; Grade II affects both inferior quadrants; Grade III involves constriction of the entire breast base with severe ptosis and significant areolar herniation. Each grade determines the most appropriate surgical technique, which Dr. Vricella selects following an individualised morphological assessment.
Not always. The decision depends on the degree of constriction and the patient’s own breast volume. In many cases, combining glandular remodelling with an implant offers the most harmonious result, but in others glandular reshaping alone is sufficient. Each case is planned on a fully individual basis during consultation.
In highly complex cases — Grade III with severe constriction and poor tissue quality — a two-stage approach may be necessary: first the base is released and the gland reshaped, and then, several months later once the tissue has stabilised, implants are placed to optimise volume. This strategy maximises both safety and the quality of the final result.
Recovery is similar to a standard breast augmentation. Most patients can return to daily activities within 5 to 7 days, avoiding strenuous physical effort for 3 to 4 weeks. A post-operative bra is recommended for 4 weeks, and regular check-ups with the surgeon are essential for monitoring progress.
The complication rate is low, under 2%. Risks include temporary changes in nipple sensitivity, suboptimal scarring, minor residual asymmetry and, in cases involving implants, the risks inherent to that procedure. The scar maturation process can take up to a year. Dr. Vricella will detail all specific risks during your personalised consultation.
Scars are predictable and well-positioned. In the periareolar technique they are limited to the areolar border; in more complex cases they may include a vertical line from the areola to the fold. With appropriate post-operative care — sun protection and scar-care creams — they fade considerably over time and become virtually imperceptible from the first year onwards.
In most cases, breastfeeding remains possible after correction. The surgical approach is planned to preserve the milk ducts as much as possible. However, the actual ability to breastfeed may be influenced by the patient’s pre-existing anatomy, since tuberous breasts frequently present with reduced glandular tissue from the outset.
Surgery is recommended once breast development is complete, generally from the age of 18. In cases of severe asymmetry with significant psychological impact, the specialist may consider an earlier intervention following a personalised consultation, always with prior evaluation of the patient’s stage of development.
You can request your consultation via the form on this page, by telephone or by email. Dr. Vricella’s team will contact you to arrange your first appointment in Madrid, Marbella or Gibraltar, with no commitment required. Contact us now →
First Step

Request your
Consultation Today

Take the first step towards an informed decision. Dr. Vricella and his team will assess your case, explain the most appropriate technique and answer all your questions — with no commitment whatsoever.

Direct Lines
+34 671 639 353 English line
+34 652 321 683 Spanish line
info@drmarcovricella.com
Dr. Marco Vricella
Powered by  GDPR Cookie Compliance
Privacy Overview

This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful.