Tuberous Breast Correction

Tuberous breasts is a condition that causes the breasts to become elongated and conical (”pointed”) in shape. 

Tuberous breast is a condition characterised by alterations in breast morphology (that is, breast shape) and tissue structure with a high prevalence in the general population. The condition was first described by Ress and Aston in 1976.  It arises during puberty and it is generally characterised by a wide range of alterations, such as:

• contracted/tight skin envelope (horizontally and vertically) 
• constricted/narrow breast base 
• constricted lower poles, that is, insufficient volume on the lower parts of the breasts
• abnormal elevation of the submammary fold
• herniation of the breast tissue through the areola
• nipple-areolar complex (NAC) herniation and hypertrophy (enlargement) associated with a normal breast base. 

The goals in Tuberous breast reconstructive procedures are to reduce the size of the areolas, release the constricted base both vertically and horizontally, restore the correct nipple-inframammary fold distance, avoid the double bubble, correction of ptosis (“sagging”), and restoration of both volume and asymmetry. 

The periareolar surgical incision is the most common approach used, that is, an incision is made along the outer border of the areolas.

If your breasts are also ptotic, that is, “saggy”, then a full breast uplift with an anchor shape scar will be required to achieve optimal breast shape.  

Glandular detachment is a procedure that involves the complete interruption of retractile fibers connecting muscular and glandular tissue. This maneuver is greatly important because it allows for the whole gland tissue to be reshaped and homogeneously redistributed through flaps in all four breast poles/quadrants. This also allows the correction of both vertical and horizontal stenosis/constriction, by respectively lowering the inframammary fold and by obtaining an enlargement of the breasts’ base/width. 

Gland tissue scoring is a common technique used to release the glandular tissue from the stenotic fascia, to allow expansion of the breast mound.

This is done by performing parallel vertical and horizontal surgical incisions directly on the fascia and gland tissue. 

 Periareolar mastopexy is used to reduce, elevate and centralize the Nipple-areola complex (NAC). This allows the correction of asymmetries between the NACs in terms of position and diameter. This means that a doughnut area of skin is carefully removed around the reduced areaola. 

Very often a complete correction of Tuberous breasts involves inserting an implant.   Implants will not only add volume and help with correcting existing size asymmetry, but will also imprint their shape on the overlying breast tissue, and thus give a more rounded appearance to the breasts.  

Tuberous Breast Correction

Tuberous breasts is a condition that causes the breasts to become elongated and conical (”pointed”) in shape. 

Tuberous breast is a condition characterised by alterations in breast morphology (that is, breast shape) and tissue structure with a high prevalence in the general population. The condition was first described by Ress and Aston in 1976.  It arises during puberty and it is generally characterised by a wide range of alterations, such as:

• contracted/tight skin envelope (horizontally and vertically) 
• constricted/narrow breast base 
• constricted lower poles, that is, insufficient volume on the lower parts of the breasts
• abnormal elevation of the submammary fold
• herniation of the breast tissue through the areola
• nipple-areolar complex (NAC) herniation and hypertrophy (enlargement) associated with a normal breast base. 

The goals in Tuberous breast reconstructive procedures are to reduce the size of the areolas, release the constricted base both vertically and horizontally, restore the correct nipple-inframammary fold distance, avoid the double bubble, correction of ptosis (“sagging”), and restoration of both volume and asymmetry.

The periareolar surgical incision is the most common approach used, that is, an incision is made along the outer border of the areolas.  

If your breasts are also ptotic, that is, “saggy”, then a full breast uplift with an anchor shape scar will be required to achieve optimal breast shape. 

Glandular detachment is a procedure that involves the complete interruption of retractile fibers connecting muscular and glandular tissue. This maneuver is greatly important because it allows for the whole gland tissue to be reshaped and homogeneously redistributed through flaps in all four breast poles/quadrants. This also allows the correction of both vertical and horizontal stenosis/constriction, by respectively lowering the inframammary fold and by obtaining an enlargement of the breasts’ base/width. 

Gland tissue scoring is a common technique used to release the glandular tissue from the stenotic fascia, to allow expansion of the breast mound.

This is done by performing parallel vertical and horizontal surgical incisions directly on the fascia and gland tissue. 

Periareolar mastopexy is used to reduce, elevate and centralize the Nipple-areola complex (NAC). This allows the correction of asymmetries between the NACs in terms of position and diameter. This means that a doughnut area of skin is carefully removed around the reduced areaola. 

Very often a complete correction of Tuberous breasts involves inserting an implant.   Implants will not only add volume and help with correcting existing size asymmetry, but will also imprint their shape on the overlying breast tissue, and thus give a more rounded appearance to the breasts.