Our Summary

This research paper is about a common type of birth defect in breasts known as tuberous breasts. This abnormality often leads to underdeveloped and uneven breasts. It can cause significant psychological distress for young women, especially as they transition from adolescence to adulthood.

One solution to this problem is to use implants to increase breast size. However, it’s important to pair this with breast reshaping to ensure the implant fits well with the natural breast shape. This is especially crucial when the individual doesn’t have enough fat for a self-transfer procedure.

However, using implants to correct tuberous breasts can be complex and requires a careful and systematic strategy. The researchers discuss an original approach to repositioning the breast tissue and managing the protrusion of the areola (the darker skin around the nipple).

The paper provides examples from a series of 145 patients who underwent this procedure between 2000 and 2021.

FAQs

  1. What is tuberous breast and how does it affect women?
  2. What is the proposed solution for tuberous breasts as discussed in the research paper?
  3. What is the original approach to repositioning the breast tissue mentioned in the research?

Doctor’s Tip

The doctor may advise the patient to carefully follow post-operative instructions, including avoiding strenuous activities, wearing a supportive bra, and attending follow-up appointments to monitor healing and ensure optimal results. It’s important for the patient to communicate any concerns or changes they notice in their breasts to their healthcare provider.

Suitable For

Patients who are typically recommended breast augmentation for tuberous breasts include:

  1. Young women with underdeveloped or asymmetrical breasts due to tuberous breast deformity.
  2. Patients who have experienced psychological distress or low self-esteem due to their breast appearance.
  3. Individuals who have tried other non-surgical options such as breast reshaping techniques but have not achieved the desired results.
  4. Patients who do not have enough natural breast tissue for a fat transfer procedure.
  5. Those who have realistic expectations and understand the risks and benefits of breast augmentation surgery.

It is important for patients considering breast augmentation for tuberous breasts to consult with a board-certified plastic surgeon who has experience with this specific deformity. A thorough evaluation and discussion of individual goals and expectations will help ensure a successful outcome.

Timeline

Before breast augmentation:

  • Patient consults with a plastic surgeon to discuss goals, expectations, and options for breast augmentation.
  • Patient undergoes a physical examination to determine candidacy for the procedure.
  • Patient and surgeon decide on the type and size of implants to be used.
  • Patient may undergo pre-operative tests and evaluations to ensure they are healthy for surgery.
  • Patient receives instructions on how to prepare for surgery, including avoiding certain medications and foods.

After breast augmentation:

  • Patient undergoes the breast augmentation surgery, which typically takes a few hours and is performed under general anesthesia.
  • Patient may experience some pain, swelling, and bruising in the days following surgery.
  • Patient is given post-operative care instructions, including how to care for incision sites and when to follow up with the surgeon.
  • Patient may need to wear a special surgical bra or compression garment to help with healing.
  • Over the following weeks and months, the patient’s breasts will gradually heal and settle into their final shape.
  • Patient may need to avoid certain activities and exercises for a period of time to ensure proper healing.
  • Patient attends follow-up appointments with the surgeon to monitor progress and address any concerns.
  • Patient enjoys the final results of their breast augmentation, with improved breast size, shape, and symmetry.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with breast augmentation surgery, particularly in the case of correcting tuberous breasts?

  2. How will the implants be placed and what size and type of implants are recommended for correcting tuberous breasts?

  3. What is the expected outcome of the surgery in terms of breast shape and symmetry?

  4. How long is the recovery process and what can I expect in terms of post-operative care and follow-up appointments?

  5. Are there any alternative treatments or procedures that could be considered for correcting tuberous breasts?

  6. What experience do you have in performing breast augmentation surgeries specifically for correcting tuberous breasts?

  7. Can you provide before and after photos of previous patients who have undergone breast augmentation surgery for tuberous breasts?

  8. What are the long-term implications of having breast implants, especially in the case of correcting tuberous breasts?

  9. How will the surgery impact breastfeeding, mammograms, and future breast health?

  10. What are the costs associated with breast augmentation surgery for correcting tuberous breasts, and will insurance cover any part of the procedure?

Reference

Authors: de Mortillet S. Journal: Ann Chir Plast Esthet. 2022 Nov;67(5-6):303-311. doi: 10.1016/j.anplas.2022.06.002. Epub 2022 Jun 27. PMID: 35773116