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[Tuberous breast: Current concept].

J Ellart1, B Chaput2, J-L Grolleau2

  • 1Service de chirurgie plastique, reconstructrice et esthétique, centre hospitalier régional et universitaire de Lille, hôpital Roger-Salengro, rue Émile-Laine, 59037 Lille, France.

Annales De Chirurgie Plastique Et Esthetique
|September 21, 2016
PubMed
Summary
This summary is machine-generated.

Tuberous breast deformity, a congenital condition, presents unique surgical challenges requiring tailored approaches. Effective treatment involves glandular rearrangement and patient-centered surgical planning for optimal outcomes.

Keywords:
Asymétrie mammaireBreast asymmetryDeficiency of the breast baseDéficience de la base mammaireGlandular flapsIncisions radiairesLambeaux glandulairesSeins tubéreuxTuberous breast deformity

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Area of Science:

  • Plastic Surgery
  • Congenital Anomalies
  • Breast Surgery

Background:

  • Tuberous breast deformity is a congenital breast anomaly characterized by a constricting ring, deficient dimensions, and herniation of breast tissue.
  • Associated features include areola enlargement and breast asymmetry, primarily affecting females during puberty.
  • The condition can cause significant psychological distress, prompting medical consultation.

Purpose of the Study:

  • To outline the surgical goals for correcting tuberous breast deformity.
  • To discuss the limitations of standard breast implants in specific types of tuberous breasts.
  • To highlight advanced surgical techniques for complex cases.

Main Methods:

  • Review of surgical strategies for tuberous breast deformity, including glandular rearrangement with parenchymal flaps.
  • Discussion of techniques to overcome implant "memory" of the inframammary fold in types II and III.
  • Emphasis on personalized surgical planning and staged procedures.

Main Results:

  • Surgical correction requires addressing the constricted base, volume redistribution, and areolar abnormalities.
  • Glandular rearrangement with flaps is crucial for types II and III to avoid implant-related complications.
  • Achieving symmetry and optimal reshaping presents a significant surgical challenge.

Conclusions:

  • Tuberous breast deformity necessitates individualized surgical approaches, often involving multiple stages.
  • Advanced techniques like parenchymal flaps are essential for complex cases.
  • Informed patient consultation regarding the surgical strategy is paramount.