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Aesthetic Plastic Surgery

, Volume 43, Issue 1, pp 16–26 | Cite as

Tuberous Breast Deformity Correction: 12-year Experience

  • Vitaly Zholtikov
  • Natalya Korableva
  • Julia LebedevaEmail author
Original Article Breast Surgery
  • 226 Downloads

Abstract

Background

This article shows our 12-year experience in application of the technique of breast parenchyma modification with simultaneous augmentation on the tuberous breast. We undertook the study, and with the results of this study we can say that tuberous breast deformation is a common pathology that is caused not only by a thickening of the superficial fascia but also by breast parenchyma fibrosis. When traditional techniques without parenchyma modification are used during the surgery, it is often that patients come back to treat complications.

Methods

A total of 208 patients (414 breasts) with tuberous breast deformation treated from 2005 to 2017 were included. The mean patient age was 31 years (range, 22–53 years). A periareolar approach, vertical and horizontal glandular scoring, dual-plane pocket creation, and anatomic implants were used in all cases.

Results

The mean follow-up was 36 months (range, 3–144 months). Deformities of the types I–IV by Von Heimburg were corrected. The global complication rate for all patients in this study was 8.9%—1.4% had capsular contracture, 1.5% had postoperative malposition, 2% had “double bubble” , 2% had rippling, 2% had areola and nipple sensitivity disorder.

Conclusion

The authors’ experience demonstrates that the described one-stage approach combining mammary gland parenchyma modification (glandular scoring) with dual-plane pocket and anatomic implants provides satisfactory results for treatment of tubular breast deformity with minimal complications and other effects that require repeated treatment.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266.

Keywords

Glandular scoring Tuberous breast Herniated areola Breast asymmetry Constricted breast Parenchyma modification technique 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Kolker AR, Collins MS (2015) Tuberous breast deformity: classification and treatment strategy for improving consistency in aesthetic correction. Plast Reconstr Surg 135:73–86CrossRefGoogle Scholar
  2. 2.
    Grolleau JL et al (1999) Breast base anomalies: treatment strategy for tuberous breasts, minor deformities, and asymmetry. Plast Reconstr Surg 104:2040–2048CrossRefGoogle Scholar
  3. 3.
    Von Heimburg D et al (1996) The tuberous breast deformity: classification and treatment. Br J Plast Surg 49:339–345CrossRefGoogle Scholar
  4. 4.
    Bruck HG (1992) Hypoplasia of the lower medial quadrant of the breast. Aesthetic Plast Surg 16:283–286CrossRefGoogle Scholar
  5. 5.
    Gruber RP, Jines HW Jr (1980) The ‘‘donut’’ mastopexy: indications and complications. Plast Reconstr Surg 65:34CrossRefGoogle Scholar
  6. 6.
    Klinger M, Klinger F, Giannasi S, Veronesi A, Bandi V, Banzatti B, Catania B, Vinci V, Lisa A, Cornegliani G, Giaccone M, Caviggioli F, Maione L (2017) Stenotic breast malformation and its reconstructive surgical correction: a new concept from minor deformity to tuberous breast. Aesthetic Plast Surg 41:1068–1077CrossRefGoogle Scholar
  7. 7.
    Brown Mitchell H, Somogyi Ron B (2015) Surgical strategies in the correction of the tuberous breast. Clin Plast Surg 42:531–549CrossRefGoogle Scholar
  8. 8.
    Muti E (2010) The tuberous breast. SEE Editrice, Firenze, pp 39–57Google Scholar
  9. 9.
    Von Heimburg D, Exner K, Kruft S et al (1996) The tuberous breast deformity: classification and treatment. Br J Plast Surg 49(6):339–345CrossRefGoogle Scholar
  10. 10.
    Benelli LA (1990) New periareolar mammaplasty: the round block technique. Aesth Plast Surg 14:93–100CrossRefGoogle Scholar
  11. 11.
    Rees TD, Aston SJ (1976) The tuberous breast. Clin Plast Surg 3:339–347Google Scholar
  12. 12.
    Toranto IR (1981) Two-stage correction of tuberous breast. Plast Reconstr Surg 67:642–646CrossRefGoogle Scholar
  13. 13.
    Maillard GF (1986) A z-mammoplasty with minimal scarring. Plast Reconstr Surg 77:66CrossRefGoogle Scholar
  14. 14.
    Dinner MI, Dowden RV (1987) The tubular/tuberous breast syndrome. Ann Plast Surg 19:414–420CrossRefGoogle Scholar
  15. 15.
    Elliot MP (1988) A musculocutaneous transposition flap mammoplasty for correction of the tuberous breast. Ann Plast Surg 20:153–157CrossRefGoogle Scholar
  16. 16.
    Puckett CL, Concannon MJ (1990) Augmenting the narrow based breast: the unfurling technique to prevent the double-bubble deformity. Aesth Plast Surg 14:15CrossRefGoogle Scholar
  17. 17.
    Atiyeh BS, Hashmin HA, El-Douaihy Y, Kayle DI (1998) Perinipple round-bloc technique for correction of tuberous/tubular breast deformity. Aesth Plast Surg 22:284–288CrossRefGoogle Scholar
  18. 18.
    Hodkinson DJ (2001) Tuberous breast deformity: principles and practice. Ann Plast Surg 47(1):97–98CrossRefGoogle Scholar
  19. 19.
    Ribeiro L, Accorsi A, Buss A, Castro M, Pesso M (2002) Short scar correction of the tuberous breast. Clin Plast Surg 29:423–431CrossRefGoogle Scholar
  20. 20.
    Mandrekas AD, Zambacos GJ (2010) Aesthetic reconstruction of tuberous breast deformity: a 10-year experience. Aesthetic Plast Surg 30:680–692CrossRefGoogle Scholar
  21. 21.
    Brault N, Stivala A, Guillier D, Moris V (2017) Correction of tuberous breast deformity: a retrospective study comparing lipofilling versus breast implant augmentation. Plast Reconstr Aesthet Surg. 70(5):585–595CrossRefGoogle Scholar
  22. 22.
    Claudio Silva-Vergara C, Fontdevila J, Weshahy O (2018) Fat grafting technique, a paradigm shift in the treatment of tuberous breast. World J Plast Surg. 7(1):72–77Google Scholar
  23. 23.
    Mallucci Patrick, Branford Oliver A (2014) Population analysis of the perfect breast: a morphometric analysis. Plast Reconstr Surg 134:436CrossRefGoogle Scholar
  24. 24.
    Maxwell Patrick (2001) Breast asymmetry. Aesth Surg 21:552–561CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  1. 1.ISAPS, ASAPSSaint PetersburgRussia
  2. 2.St. Petersburg State Pediatric Medical UniversitySaint PetersburgRussia

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