Increase your confidence by correcting your breast shape and form.
1 to 2.5 hours
1 to 2 days
Resuming physical activities:
Breast shape, size and symmetry play an important role in a woman’s sense of femininity, and confidence. Tuberous breasts are a common developmental condition that can have a variety of presentations. Tuberous breast deformities vary widely and often include asymmetry as well as herniation of the areola.
This breast shape becomes evident during the early phases of puberty and breast development. Tuberous breasts can profoundly influence the psychosocial well-being and sexuality of young women.
Patients who are good candidates for this procedure:
Small breast size
Breast skin deficiency
Areola puffiness or bulging (herniation)
Malposition of the inframammary fold
Pointed or a “tube” shape of breasts
Patients who are poor candidates for this procedure:
Obese (want or need to lose weight)
Have serious medical problems
On blood thinners
Are you a good candidate?
Our Self-Evaluation Quiz can help you decide if an areola and nipple reduction is the right procedure for you.
Dr. Gdalevitch combines her proficiency in both aesthetic and reconstructive surgery to address shape and symmetry in tuberous breast correction. In some cases, surgery can be performed on the affected breast alone. In many cases, slightly different procedures are required for each breast to achieve a symmetric result. Volume correction can be addressed with a breast implant or lipofillling, while changes in shape can be accomplished using breast lift techniques. Some patients combine these two procedures during a single surgery, but in other cases, a staged approach performed over two surgeries is recommended to achieve the best possible results.
At Phi Plastic Surgery, we believe that a beautiful body can take many shapes and sizes. The Phi philosophy centers on respecting your body's proportions and helping you let your inner beauty shine.
We offer our patients the best, most advanced techniques to help them achieve their aesthetic goals.
These pre-surgical and post-surgical instructions are provided as essential services for you. Please follow the instructions carefully to ensure optimum results. If there are instructions that need to be clarified, please feel free to contact our office as soon as possible. If some instructions are not followed, your surgery could be delayed if deemed necessary by your surgeon.
ONE MONTH before your surgery
Stop using contraceptive pills or hormone therapy.
A pre-operative visit (if necessary) approximately one month before your surgery will be scheduled to review your goals and provide you with additional information regarding your surgery.
THREE WEEKS before your surgery
Stop all consumption of collagen.
Complete your pre-operative tests. Be sure to complete all prescribed pre-operative tests (ECG blood tests, etc.). If your tests’ medical results and clearances are received on time, your surgery may be completed on time.
Prepare your surgery date: Plan to ensure a stress-free experience. Arrange your work leave and special assistance to help you with a ride home. Prepare your return by organizing meals, delivery, babysitting, etc. Make sure you have someone scheduled to accompany you home after your surgery. Someone should also be on-call to help you during the first 24 hours after your surgery.
TWO WEEKS before your surgery
Stop the consumption of anti-inflammatory drugs.
Aspirin, drugs containing aspirin or any anticoagulants such as Arixtra pf, clopidogrel, Plavix, coumadin, dalteparin, edoxaban, eliquis, apixaban, enoxaparin, Fragmin pfsyringe, lepirudin, Pradaxa, dabigatran etexilate, Xarelto, rivaroxaban.
A pre-operative visit (if necessary) approximately two weeks before your surgery will be scheduled to review your goals and provide you with additional information regarding your surgery.
SEVEN DAYS before your surgery
Stop taking any supplements or medications from the list below. These products can increase the risk of bleeding and other complications. Stop consuming any non-prescribed supplements, including: Omega 3-6, nutricap, echinacea, glucosamine, fat burners, St. John’s wort.
Confirm your surgical support plan: This includes your transportation and post-surgical care, including an adult family member or a friend on-call for your support 24 hours after your surgery.
Purchase any prescription provided by Dr. Gdalevitch (If applicable) and revise your pre-surgical instructions.
The day BEFORE your surgery
Prepare a bag. It should include the following:
All necessary papers
Your identification (RAMQ card)
Glasses if necessary
Confirm who will assist you for the first 24 hours after surgery.
Take a shower. Use a non-perfumed soap. Wash your hair. Do not put cream or lotions. Do not put deodorants, hair products, perfumes, or makeup on.
Remove any nail varnish (even if transparent) from your hands and feet, including shellac, resin, gel or acrylic. All this reduces the risk of post-surgical infections, and nails are monitored for blood circulation.
Do not eat or drink dark liquids for 8 hours before your surgery. Do not drink any light liquids 6 hours before your surgery. Anything you eat can cause the cancellation of your surgery and increase the risks associated with surgery and anesthesia. This includes sweets, mints, chewing gum, tea or coffee. You can take a minimal amount of water after brushing your teeth or taking medication.
Relax. Enjoy a good night’s sleep and avoid stress.
YOUR SURGERY DAY
Do not drink or eat on the day of your surgery.
Do not train before surgery.
Please bring your medications which have been prescribed to you in a bag as above.
Please bring your compression socks if they have been prescribed to you.
Do not wear any makeup, jewellery, contact lenses, hairpin or piercings: during surgery, an electric cautery is used, and any piercing or jewellery can cause burns.
Wear light and comfortable clothing. Wear a top that opens forward. Do not wear a sweater, turtleneck or tight clothing. You can wear a skirt, but pants and a jogging jacket are ideal. Flat shoes that are easy to put on and remove (no heels) should be worn. A lip balm is recommended.
You can expect to have some pain in the breasts. You may feel like it is challenging to take a deep breath.
To help you rest comfortably, follow these instructions:
Take extra-strength Tylenol every 4 hours
Take an anti-nausea medication such as Gravol 30 minutes before taking your prescribed pain medication
Take your pain medication as prescribed
Take your antibiotics as prescribed
Try and rest in a semi-sitting position until bedtime
Avoid using your arms for anything strenuous
Keep your surgical bra in place
Apply ice to your upper breast area (10 minutes on, 10 minutes off)
Contact us immediately if you experience any of the following:
Pain that is not controlled by the pain medication
One breast is unusually large, painful and bruised.
A fever of greater than 38.5
Severe nausea or vomiting
Hallucinations or incoherent behaviour
Pain or swelling of one calf
Excessive bleeding through your dressing
Incapable of urinating
The first day following surgery
Your pain will start to dissipate after 48 hours.
Avoid staying in bed all day, and rest in a semi-sitting position.
Avoid strenuous activities with your arms.
Healing and follow up
Your breasts will not be fully healed for 4-8 weeks.
Exercise is not permitted until four weeks after surgery.
You should rest for at least one week after surgery and gradually regain daily activities, except for strenuous upper body activities or exercise.
You will have a follow-up appointment 1-2 weeks after surgery, then at one month and three months.
Significant improvements in both size and shape can be accomplished through the placement of breast implants. After breast implant surgery, your breasts will appear more “shapely” and “full.” The result is an improvement in a woman’s self-esteem and a more positive self-image.
How much does the procedure cost?
Tuberous breast correction (augmentation + areolar correction)
starting at $9,500
For a more beautiful and proportional you!
φ Phi is the Greek symbol that indicates the golden ratio, a ratio that is synonymous with beauty.
Dr. Perry Gdalevitch offers a unique approach that involves applying the principles of perfect proportions (phi) to help you achieve your aesthetic and reconstructive goals.