Our Summary

This research paper discusses a new approach to correcting a common breast abnormality known as tuberous breast deformity (TBD). This condition can cause the breasts to look unusual and can be particularly noticeable in those who have breast augmentation surgery. If not correctly addressed, the deformity can become even more pronounced after surgery, leading to an unsatisfactory look.

The researchers have developed a new method for treating this condition, especially in its early stages. They reviewed cases from 2016 to 2021 where this approach was used. Over this period, 142 patients had their TBD corrected using this step-by-step method during their breast augmentation surgery.

The researchers propose a region-by-region plan for managing TBD, which can generally be done in a single surgery. However, in more severe cases, such as when there is a large amount of sagging, significant unevenness, or a large nipple-areola area, multiple surgeries may be needed.

FAQs

  1. What is Tuberous Breast Deformity (TBD) and how common is it in patients undergoing breast augmentation?
  2. What are the techniques used to correct early-stage TBD during breast augmentation?
  3. What is the proposed regional algorithm for management of TBD?

Doctor’s Tip

Tip: It is important to address all regional abnormalities in tuberous breast deformity when undergoing breast augmentation to achieve the best aesthetic outcome. Make sure to discuss your specific concerns and goals with your plastic surgeon to develop a personalized treatment plan.

Suitable For

Patients who are typically recommended breast augmentation include those with tuberous breast deformity (TBD) with mild features, such as inframammary fold, lower pole deficiency, nipple-areola complex widening or herniation, or mild ptosis. These patients can benefit from a stepwise approach to correct the deformity and achieve a better aesthetic outcome. Patients with more severe cases of TBD, marked ptosis, severe asymmetry, or marked macroareola may require additional procedures or stages of correction.

Timeline

Before breast augmentation:

  1. Patient consults with a plastic surgeon to discuss goals, expectations, and potential options for breast augmentation.
  2. Patient undergoes a physical examination and imaging studies to assess breast anatomy and determine the best course of action.
  3. Surgical plan is developed, taking into consideration any existing asymmetry, ptosis, or other abnormalities.
  4. Pre-operative preparations are made, including obtaining medical clearance, discussing anesthesia options, and planning for post-operative care.

After breast augmentation:

  1. Patient undergoes breast augmentation surgery, which may involve techniques to correct tuberous breast deformity such as addressing the inframammary fold, lower pole deficiency, nipple-areola complex widening or herniation, and ptosis.
  2. Patient is monitored in the recovery room and may be discharged home the same day or after a short hospital stay.
  3. Patient follows post-operative instructions, including pain management, wound care, and activity restrictions.
  4. Follow-up appointments are scheduled to monitor healing, assess results, and address any concerns or complications.
  5. Patient experiences gradual improvement in breast appearance as swelling subsides and implants settle into position.
  6. Patient may choose to undergo additional procedures, such as nipple-areola complex revision or fat grafting, to further enhance results.

What to Ask Your Doctor

  1. Can breast augmentation correct the appearance of tuberous breast deformity?

  2. What specific techniques will be used to address each region of mild TBD during the surgery?

  3. How many stages of surgery will be needed to correct my TBD, if any?

  4. What are the risks and potential complications associated with breast augmentation for TBD?

  5. What kind of results can I expect in terms of correcting the inframammary fold, lower pole deficiency, nipple-areola complex widening or herniation, and ptosis?

  6. How long is the recovery process for breast augmentation in patients with TBD?

  7. Will I need any additional procedures or treatments in the future to maintain the results of my breast augmentation for TBD?

  8. Are there any alternative treatment options for correcting TBD besides breast augmentation?

  9. How experienced are you in performing breast augmentation for patients with TBD?

  10. Can you provide before and after photos of patients with TBD who have undergone breast augmentation to give me an idea of the potential outcomes?

Reference

Authors: Lonie S, Tavakoli K. Journal: Aesthet Surg J. 2023 Oct 13;43(11):NP878-NP887. doi: 10.1093/asj/sjad255. PMID: 37556836