A musculocutaneous transposition flap mammaplasty for correction of the tuberous breast

Presented here is a technique employing a laterally based serratus musculocutaneous transposition flap for the correction of the infraareolar skin insufficiency characteristic of the tuberous breast deformity in its severe form. This surgical maneuver, augmenting those previously described for this problem, allows for the sculpting of a fuller and more pleasing breast contour with a better defined inframammary fold. Two patients are presented, one with a bilateral severe tuberous deformity and the other with a severe asymmetry and a unilateral severe tuberous deformity.