Tuberous Breasts Associated with Chest Wall Deformity: A Challenging Planning for Breast Augmentation

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Aesthetic Surgery

Background:

• Tuberous breast deformity presents challenges in breast augmentation due to vertical/horizontal deficiencies and asymmetry.
• Associated chest wall deformities, such as rib prominence and fusion, complicate surgical planning and outcomes.

Observation:

• A 24-year-old patient with severe tuberous breast deformity (Grolleau types 1 and 3) and left-sided chest wall deformity (prominent/fused ribs) sought correction.
• The patient presented with significant breast asymmetry (Cup A vs. Cup C) and desired increased breast volume.

Findings:

• A novel surgical approach utilized bilateral breast implants and fat grafting to address the complex deformities.
• The technique involved subfascial placement of implants (285cc right, 140cc left) with modifications including areolar reduction and inframammary fold adjustment.
• Fat grafting enhanced breast contour, projection, and concealed the underlying chest wall irregularities, leading to improved symmetry and aesthetics at 3-month follow-up.

Implications:

• This combined technique offers a viable solution for complex tuberous breast deformities with concomitant chest wall abnormalities.
• The successful application demonstrates the versatility of implants and fat grafting in achieving superior aesthetic results in challenging cases.
• Further research into this novel approach could refine treatment strategies for similar congenital breast and chest wall anomalies.