[lolo90]

Hello,

I’m a 35-year-old genetic female with Grade IV tubular breasts. My right breast has severe areolar herniation, almost no sub-areolar tissue, and a very tight constriction ring. I cannot do surgery, so I need the best non-surgical approach.

Before enlarging both breasts, I must correct the shape on the right side.

Based on my anatomy, could you tell me:

1. Which device is better for releasing the constriction ring and improving herniation: Evebra or Noogleberry?

2. What is the most reliable pumping method to build sub-areolar tissue (cup angle, positioning, routine)?

3. Should I start with the right breast only, or pump both for symmetry?

4. Should I combine pumping with a topical E2 + progesterone + DHEA protocol from the start?


Thank you.

[blueheart]

I think the honest answer to the first question is neither, as far as we know. Because I haven't heard anyone say that these conditions can be improved by pumping and neither product claims to improve these conditions. But that doesn't mean it definitely won't work. It just means that until you try you won't know if either product will work for you or not.

[lolo90]

I think the honest answer to the first question is neither, as far as we know. Because I haven't heard anyone say that these conditions can be improved by pumping and neither product claims to improve these conditions. But that doesn't mean it definitely won't work. It just means that until you try you won't know if either product will work for you or not

Thanks for your answer. I understand.

Even though there’s no proven method, my case is specific because I can manually push the areola inward and the herniation disappears, which means the ring is not fully rigid.

So I still want to try targeted sub-areolar suction.
I’m just trying to find the best way to attempt it, even if results aren’t guaranteed.

Thanks again.

[perhaps cat]

Regarding the third question, you basically have 3 options. You can pump the smaller one only to start with, you can pump them both but pump the smaller one for longer, or you can pump them both but use a higher pressure on the smaller one. The last option is the most complicated one, as you will need a DIY system to carry it out, so go for one of the others. Personally I'm pumping both sides, but I'm pumping the smaller side for longer and I can say it's definitely worked to some extent and reduced the size difference between them.

[lolo90]

Regarding the third question, you basically have 3 options. You can pump the smaller one only to start with, you can pump them both but pump the smaller one for longer, or you can pump them both but use a higher pressure on the smaller one. The last option is the most complicated one, as you will need a DIY system to carry it out, so go for one of the others. Personally I'm pumping both sides, but I'm pumping the smaller side for longer and I can say it's definitely worked to some extent and reduced the size difference between them.

Thank you, that makes sense.
I agree that pumping the smaller breast for a longer time is the most practical option.

However, in my case the smaller side also has a severe constriction ring and almost no sub-areolar tissue, so I want to make sure I’m not applying the wrong method.

May I ask:

• When the base is extremely narrow and the areola is herniated, is “longer pumping on the smaller side” still safe?
• Or should shape-correction (sub-areolar suction / downward angle) be done first before doing standard pumping time?

I just want to avoid making the herniation worse.

Thanks again for your guidance.

[perhaps cat]

Well if you assume that pumping is safe, then longer pumping would also be safe. Because it's not the length of the pumping which makes it safe or unsafe, it's the pressure you use.

I'm not knowledgeable about this, so this is only my own opinion, but it would make sense to me to carry out the shape-correction first, because it might be harder to do it later on.

[lolo90]

Well if you assume that pumping is safe, then longer pumping would also be safe. Because it's not the length of the pumping which makes it safe or unsafe, it's the pressure you use.

I'm not knowledgeable about this, so this is only my own opinion, but it would make sense to me to carry out the shape-correction first, because it might be harder to do it later on.

“Thank you. Your explanation makes sense.
I will keep the pressure very low and focus on shape-correction first (sub-areolar suction + downward angle) before increasing pumping time.
My main goal now is to avoid worsening the herniation.”

[blueheart]

I completely agree that the safety of pumping is all about the pressure you use. If the pressure you use is safe it doesn't matter how long you pump for, from a safety point of view. But you do need enough pressure to create significant tension.

If you're going to keep the pressure low, the Evebra would be a much better option than any manual pump, because with low pressure you need to pump for a long time, and that isn't very practical if you're pumping manually.