Tuberous Breast Deformity is a congenital breast constrictive condition that presents in both male and female patients. This condition ranges from mild or moderate to severe presentation, and is generally characterized by an underdevelopment of breast tissue in association with a poorly defined inframammary fold, a narrow breast base width, and herniation of breast tissue through the nipple areolar complex resulting in larger areolar complex.

This condition is commonly treated through surgical interventions utilizing multiple surgical techniques. Such techniques may include autologous micro fat grafting as well as asymmetric breast enhancement with implants in “often times” combination with a variety of matopexy techniques breast lifting/reshaping techniques to reduce the size of the often encountered enlarged areola, reposition of the nipple location, and vertical scoring internally to the tight bands to allow the desired appealing expansion and restoration of the inferior breast silhouette.

Case: This patient is a 22 year old female who initially presented for an evaluation desiring aesthetic improvement of her breast glands bilaterally. After a thorough evaluation and physical examination, it was my opinion that she presented with congenital developmental tuberous breast deformity bilaterally. My recommendation was to bilaterally utilize a saline implant with an asymmetrical vertical mastopexy.

Surgery: Asymmetric saline breast implants were utilized in conjunction with bilateral asymmetric vertical short scar breast lift “mastopexy” and vertical scoring of the left band.

Breast Augmentation also known as mammaplasty augmentation utilizes the insertion of an implant to help improve breast symmetry, volume, and appearance. There are two types of implants used: silicone gel and saline.

Case: This patient is a 27 year old female who presented desiring aesthetic enhancement of her breasts bilaterally. After a thorough evaluation and physical examination, it was my opinion that she presented with under-developed breast glands bilaterally. The surgical advice was to
bilaterally place partial sub muscular, smooth wall, silicone gel implants to enhance appearance, as well as a peri-areolar lift to help improve nipple areola complex positioning.

Surgery: Smooth wall, high profile, silicone gel implants, fill volume of 400 cc bilaterally with peri-areolar breast lift “mastopexy”.