[Tissular expansion and tuberous breasts: 10 cases report]

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Mammary Development

Context:

• Tuberous breast, a mammary development deficiency, presents challenges in lower quadrant reconstruction.
• The Grolleau classification (types II and III) necessitates specific surgical approaches.
• Avoiding double bubble deformity and medial infra-mammary fold issues are key concerns.

Purpose:

• To evaluate a two-stage surgical correction for tuberous breast deformities (types II and III).
• To assess the efficacy of tissue expansion combined with implants and Puckett plasty.
• To minimize complications like double bubble deformity and improve aesthetic results.

Summary:

• A two-stage approach using tissue expanders, anatomical implants, and Puckett plasty was employed in ten patients.
• The first stage involved expander implantation with Puckett plasty; the second stage replaced the expander with a prosthesis.
• Results showed no double bubble deformities, with lipofilling used in three cases for medial fold enhancement.

Impact:

• This technique effectively increases lower pole volume and reduces the risk of double bubble deformity in tuberous breast correction.
• The use of anatomical prostheses contributes to a more natural contour of the glandular lower pole.
• The described therapeutic strategy offers a high chance of achieving satisfactory aesthetic and psychological outcomes for patients.