Evaluating breast parenchymal maldistribution with regard to mastopexy and augmentation mammaplasty

Mammary parenchymal maldistribution or lower-pole hypoplasia, a first cousin of the tubular breast deformity, is a common condition complicating the selection of patients for retropectoral augmentation mammaplasty and/or mastopexy. The eccentric mammary parenchyma must be released from the pectoral fascia to obtain good results with augmentation mammaplasty and to minimize the necessity for mastopexy.