scholarly journals Refining aesthetic approaches to tuberous breast using combined minimally invasive approaches to treat moderate asymmetric tuberous breast

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Riccardo Bonomi ◽  
Miguel Johnson ◽  
Gilles Toussoun
Keyword(s):  
Breast Implants ◽  
Fat Grafting ◽  
Breast Parenchyma ◽  
Tuberous Breast ◽  
Breast Deformity ◽  
Areolar Complex ◽  
Aesthetic Results ◽  
Breast Shape ◽  
Aesthetic Breast ◽  
Tuberous Breast Deformity

Abstract Tuberous breast deformity refers to a deformity of the breast that is characterized by varying degree of herniation of the breast parenchyma, widened nipple areolar complex, constriction of the breast base and may involve some degree of hypoplasia. Tuberous breast deformity is most often seen in young women who commonly presents due to dissatisfaction with breast symmetry, as this can be a source of significant psychosocial distress. Principles of reconstruction are focused on recreating an aesthetically pleasing breast shape and achieving symmetrization. Traditionally, reconstruction commonly involved utilization of breast implants or local flap to achieve these goals. The introduction of fat transfer has led to a paradigm shift in aesthetic breast surgery. Fat grafting is safe and can reliably achieve satisfactory aesthetic results in selected cases and reduces the need for implants or local flaps. Concepts that reduce scar burden allows for even more satisfactory aesthetic outcomes.

One-Stage Correction of Tuberous Breast Deformity Using Saline Implants: Without the Need for Radial Scoring or Lowering the Inframammary Fold

2019 ◽  
Vol 36 (4) ◽  
pp. 191-196
Author(s):  
Ted Eisenberg
Keyword(s):  
Breast Augmentation ◽  
Breast Tissue ◽  
Breast Implants ◽  
Inframammary Fold ◽  
Tuberous Breast ◽  
Aesthetic Result ◽  
Breast Deformity ◽  
Areolar Complex ◽  
Tuberous Breast Deformity ◽  
The Imf

Tuberous breasts are a congenital anomaly in which the breasts fail to develop normally. This abnormality may include hypoplasia, a tubular appearance, a higher inframammary fold (IMF), and sometimes a herniated nipple-areolar complex. Correction of tuberous breast deformity (TBD) is traditionally done with a 1-stage breast augmentation with radial scoring of the constricted breast tissue and/or the lowering of the IMF. An alternative 2-stage approach first uses a tissue expander to correct the deformity; the expander is later replaced with a permanent breast implant. Sixteen patients are presented in which a 1-stage correction of TBD was successfully accomplished with saline implants acting as tissue expanders. In all cases, the expansion remedied the deformity without the need for radial scoring of the breast tissue or lowering of the IMF. This approach has not been reported in the literature. Sixteen women (32 breasts) were treated, with TBD ranging from mild to severe. All patients had a breast augmentation with round, smooth saline implants placed through an IMF incision in the dual plane (partially subpectoral and partially submammary). Implants ranged in size from 225 cc to 675 cc. The IMF was never lowered and the breast parenchyma was never radially scored. Three patients had asymmetry requiring breast implants of different sizes, and one had a circumareolar mastopexy to repair a herniated areolar complex. Representative case examples are provided. The average follow-up time was 9 months. All deformities were corrected, and the patients expressed satisfaction with their results. There were no occurrences of hematoma, infection, capsular contracture, or malposition. This review has shown that saline breast implants alone, with their inherent expansion capability, can correct TBD without the increased morbidity associated with radial scoring and lowering the IMF. For patients who choose saline implants, this single-stage, less invasive surgical approach can provide a good aesthetic result.

scholarly journals Tuberous breast deformity: A modified technique for single-stage correction

2016 ◽  
Vol 49 (02) ◽  
pp. 166-171 ◽  
Author(s):  
Shweta Aggarwal ◽  
Niri S. Niranjan
Keyword(s):  
Breast Tissue ◽  
Breast Reduction ◽  
Single Stage ◽  
Type I ◽  
Modified Technique ◽  
Tuberous Breast ◽  
Breast Deformity ◽  
Aesthetic Results ◽  
The Aesthetic ◽  
Tuberous Breast Deformity

ABSTRACT Introduction: Tuberous breast deformity is one of the most challenging congenital breast anomalies. Severe forms present as hypoplasia of lower medial and lateral quadrants and breast base constriction. We present a modified technique based on redistribution of breast tissue for single-stage aesthetic correction of this deformity. Material, Methods and Surgical Technique: The technique is based on Lejour’s method of single vertical scar breast reduction. The breast tissue is divided into three superiorly based pedicles. However, instead of joining the three pedicles, they are spread to redistribute tissue to quadrants which are deficient. This technique is combined with implant insertion if the breast volume is deficient or mastopexy if there is significant ptosis. The level of nipples is matched to achieve symmetry and areolar reduction done where indicated. We have used this for six patients with Type I/II/III (von Heimburg, 2000) tuberous breast deformity. Results and Discussion: The aesthetic results have been very good in terms of shape, volume, symmetry and patient satisfaction. A historical summary of the development of techniques for correction of tuberous breast is presented along with description of our method and its results.

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