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Management of Tuberous Breasts by Exclusive Fat Grafting
David Boccara1, Rebecca Bern2, Olivier Mathieu2
1Plastic, Reconstructive and Cosmetic and Burn Surgery unit, Hôpital Saint Louis, 1 avenue Vellefaux, 75010, Paris, France. david.boccara@aphp.fr.
Aesthetic Plastic Surgery
|March 20, 2026
Summary
Fat grafting is a safe and effective treatment for tuberous breasts, achieving high patient satisfaction and minimal complications. This technique offers a definitive reconstruction, revitalizing breast growth.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Aesthetic Surgery
Background:
- Tuberous breast deformity presents a significant challenge in breast surgery.
- Traditional treatments often involve glandular remodeling, sometimes with implants.
- Fat grafting has emerged as a novel approach for breast reconstruction.
Purpose of the Study:
- To evaluate the efficacy and safety of a fat grafting surgical technique for tuberous breast deformities.
- To assess patient satisfaction in a larger cohort than previously reported.
Main Methods:
- Retrospective study of patients with unilateral or bilateral tuberous breast deformities.
- Fat grafting was offered to eligible patients with normal mammograms (ACR 1-2) and no cancer history.
- Patient satisfaction assessed using Breast-Q® and an analog scale (6+ months post-op).
Main Results:
- 81 patients (103 breasts) were included; median of two interventions per patient.
- Low complication rate: 3% cystic fat necrosis, with one requiring surgery.
- Patient satisfaction was high, with 90.9% satisfied or very satisfied with overall breast appearance.
Conclusions:
- Fat grafting acts as a regenerative treatment, promoting breast growth similar to a localized pubertal restart.
- The technique offers high-quality results, excellent patient satisfaction, and a low complication profile.
- Fat grafting is considered the Gold Standard for managing tuberous breasts due to its definitive and effective nature.
