Open AccessAesthetic Correction of Tuberous Breast Deformity—Lessons Learned with a Single‐Stage Procedure
Author(s) -
Bach Alexander D.,
Kneser Ulrich,
Beier Justus P.,
Breuel Christiane,
Horch Raymund E.,
Leffler Mareike
Publication year - 2009
Publication title -
the breast journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.533
H-Index - 72
eISSN - 1524-4741
pISSN - 1075-122X
DOI - 10.1111/j.1524-4741.2009.00717.x
Subject(s) - medicine , areola , deformity , surgery , breast tissue , implant , stage (stratigraphy) , breast surgery , breast cancer , paleontology , cancer , biology
Tuberous breast deformity is a pathologic condition of the breast affecting teenage women. The aberration of breast shape in tuberous breast deformity consisting of a constricting ring at the breast base, breast tissue deficiency, and herniation of breast tissue into the nipple‐areola‐complex with areola enlargement and additional asymmetry makes the surgical correction challenging. In the present study, 15 patients were operated using a surgical procedure, which addresses all aspects of the deformity at a one‐stage operation. The described technique results in a periareolar scar only, and the use of tissue expanders or skin flaps is unnecessary. Minor periareolar scar revision surgery was necessary in eight of 15 patients (53%) because of hypertrophic or expanded scarring. In two patients, implant dislocation occurred and therefore surgical revision was necessary. In all cases, an excellent final aesthetic result with a high patient satisfaction was achieved.