Aesthetic correction of tuberous breast deformity: lessons learned with a single-stage procedure.
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.
Bach
Alexander D
AD
Department of Plastic and Hand Surgery, University Hospital Erlangen-Nuernberg, University Hospital Erlangen-Nuernberg, Krankenhausstrasse, Erlangen, Germany. alexander.bach@uk-erlangen.de
Kneser
Ulrich
U
Beier
Justus P
JP
Breuel
Christiane
C
Horch
Raymund E
RE
Leffler
Mareike
M
D000293:Adolescent; D000328:Adult; D001940:Breast / Q000002:abnormalities* / Q000601:surgery*; D001941:Breast Diseases / Q000601:surgery*; D019928:Breast Implantation / Q000379:methods*; D004954:Esthetics; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D017060:Patient Satisfaction; D016896:Treatment Outcome; D055815:Young Adult