Skip to main content
Top
Published in: European Journal of Plastic Surgery 6/2017

01-12-2017 | Original Paper

Tuberous breast correction by using a single-stage “star-like” incision: an innovative technique

Authors: Giuseppe A. Ferraro, Francesco De Francesco, Bruno Di Pace, Antonio Guastafierro, Giovanni Francesco Nicoletti

Published in: European Journal of Plastic Surgery | Issue 6/2017

Login to get access

Abstract

Background

Tuberous breast deformity is a congenital anomaly affecting young women. Several surgical techniques have been developed, but in many cases, they have not led to the expected results or have led to significant complications. The purpose of our study is to evaluate the efficacy of treating tuberous breast deformity with an innovative “star-like” incision technique.

Methods

Between 2009 and 2013, 25 patients with a tuberous breast deformity underwent surgery at our department. All patients were managed with a star-like incision of the gland and the placement of a subfascial silicone gel implant in a single-stage surgical procedure. An areolar reduction was also performed.

Results

Our results, with a maximum follow-up of 4 years, were satisfying. There were no surgical or later complications. The new breasts had a natural shape, correct symmetry, a normal-sized areola, reduced evidence of the “double-bubble" deformity, good mammary projection, and resolved ptosis.

Conclusion

Advantages of the star-like incision technique include lower breast pole restructuring in the volume, length, and shape, suitable breast implant coverage, and proper correction of areola size and herniation. The technique is safe and achieves satisfactory, long-lasting results.
Level of Evidence: Level IV, descriptive study
Appendix
Available only for authorised users
Literature
1.
go back to reference Rees TD, Aston SJ (1976) The tuberous breast. Clin Plast Surg 3:339–347PubMed Rees TD, Aston SJ (1976) The tuberous breast. Clin Plast Surg 3:339–347PubMed
2.
3.
go back to reference Gruber RP, Jones HW (1980) The ‘donut’ mastopexy: indications and complications. Plast Reconstr Surg 65:34–38CrossRefPubMed Gruber RP, Jones HW (1980) The ‘donut’ mastopexy: indications and complications. Plast Reconstr Surg 65:34–38CrossRefPubMed
4.
go back to reference Williams G, Hoffman S (1981) Mammoplasty for tubular breasts. Aesthetic Plast Surg 5:51–56 Williams G, Hoffman S (1981) Mammoplasty for tubular breasts. Aesthetic Plast Surg 5:51–56
5.
go back to reference Bostwick J (1990) Plastic and reconstructive breast surgery. Quality Medical Publishing, St. Louis Bostwick J (1990) Plastic and reconstructive breast surgery. Quality Medical Publishing, St. Louis
6.
go back to reference Brink RR (1990) Evaluating breast parenchymal maldistribution with regard to mastopexy and augmentation mammaplasty. Plast Reconstr Surg 86:715–721CrossRefPubMed Brink RR (1990) Evaluating breast parenchymal maldistribution with regard to mastopexy and augmentation mammaplasty. Plast Reconstr Surg 86:715–721CrossRefPubMed
7.
go back to reference Puckett CL, Concannon MJ (1990) Augmenting the narrow-based breast: the unfurling technique to prevent the double-bubble deformity. Aesthetic Plast Surg 14:15–19 Puckett CL, Concannon MJ (1990) Augmenting the narrow-based breast: the unfurling technique to prevent the double-bubble deformity. Aesthetic Plast Surg 14:15–19
8.
go back to reference Van Heimburg DV, Exner K, Kruft S, Lemperle G (1990) The tuberous breast deformity: classification and treatment. Br J Plast Surg 49:339–345CrossRef Van Heimburg DV, Exner K, Kruft S, Lemperle G (1990) The tuberous breast deformity: classification and treatment. Br J Plast Surg 49:339–345CrossRef
9.
go back to reference Meara JG, Kolker A, Bartlett G, Thiele R, Mutimer K, Holmes AD (2000) Tuberous breast deformity: principles and practice. Ann Plast Surg 45:607–611CrossRefPubMed Meara JG, Kolker A, Bartlett G, Thiele R, Mutimer K, Holmes AD (2000) Tuberous breast deformity: principles and practice. Ann Plast Surg 45:607–611CrossRefPubMed
10.
go back to reference Costagliola M, Atiyeh B, Rampillon F (2013) Tuberous breast: revised classification and a new hypothesis for its development. Aesthetic Plast Surg 37:896–903 Costagliola M, Atiyeh B, Rampillon F (2013) Tuberous breast: revised classification and a new hypothesis for its development. Aesthetic Plast Surg 37:896–903
11.
go back to reference Pacifico MD, Kang NV (2007) The tuberous breast revisited. J Plast Reconstr Aesthet Surg 60:455–464CrossRefPubMed Pacifico MD, Kang NV (2007) The tuberous breast revisited. J Plast Reconstr Aesthet Surg 60:455–464CrossRefPubMed
12.
go back to reference Glaesmer E. Die Formfehler und Plastischen Operationen der weiblichen Brust. Sturrgart. 1930 Ferdinand Enke Glaesmer E. Die Formfehler und Plastischen Operationen der weiblichen Brust. Sturrgart. 1930 Ferdinand Enke
13.
go back to reference Pers M (1968) Aplasias of the anterior thoracic wall, the pectoral muscles, and the breast. Scand J Plast Reconstr Surg 2:125–135CrossRefPubMed Pers M (1968) Aplasias of the anterior thoracic wall, the pectoral muscles, and the breast. Scand J Plast Reconstr Surg 2:125–135CrossRefPubMed
14.
go back to reference Imahiyerobo TA, Ascherman JA (2013) Discussion: tuberous breast: revised classification and a new hypothesis for its development. Aesthetic Plast Surg 37:904–905 Imahiyerobo TA, Ascherman JA (2013) Discussion: tuberous breast: revised classification and a new hypothesis for its development. Aesthetic Plast Surg 37:904–905
15.
go back to reference Mandrekas AD, George J, Zambacos GJ (2010) Aesthetic reconstruction of the tuberous breast deformity: a 10-year experience. Aesth Surg J 30:680–692CrossRef Mandrekas AD, George J, Zambacos GJ (2010) Aesthetic reconstruction of the tuberous breast deformity: a 10-year experience. Aesth Surg J 30:680–692CrossRef
16.
go back to reference Mandrekas AD, Zambacos GJ, Anastasopoulos A, Hapsas D, Lambrinaki N, Ioannidou-Mouzaka L (2003) Aesthetic reconstruction of the tuberous breast deformity. Plast Reconstr Surg 112:1099–1108CrossRefPubMed Mandrekas AD, Zambacos GJ, Anastasopoulos A, Hapsas D, Lambrinaki N, Ioannidou-Mouzaka L (2003) Aesthetic reconstruction of the tuberous breast deformity. Plast Reconstr Surg 112:1099–1108CrossRefPubMed
17.
go back to reference Grolleau JL, Lanfrey E, Lavigne B, Chavoin JP, Costagliola M (1999) Breast base anomalies. Treatment strategy for tuberous breasts, minor deformities and asymmetry. Plast Reconstr Surg 104:2040–2048CrossRefPubMed Grolleau JL, Lanfrey E, Lavigne B, Chavoin JP, Costagliola M (1999) Breast base anomalies. Treatment strategy for tuberous breasts, minor deformities and asymmetry. Plast Reconstr Surg 104:2040–2048CrossRefPubMed
18.
go back to reference Ribeiro L, Canzi W, Buss AJR, Accorsi AJR (1998) Tuberous breast: new approach. Plast Reconstr Surg 101:42–50CrossRefPubMed Ribeiro L, Canzi W, Buss AJR, Accorsi AJR (1998) Tuberous breast: new approach. Plast Reconstr Surg 101:42–50CrossRefPubMed
19.
go back to reference Hendricks H (2007) Complete submuscular breast augmentation: 650 cases managed using an alternative surgical technique. Aesthetic Plast Surg 31:147–153 Hendricks H (2007) Complete submuscular breast augmentation: 650 cases managed using an alternative surgical technique. Aesthetic Plast Surg 31:147–153
20.
go back to reference Panchapakesan V, Brown MH (2009) Management of tuberous breast deformity with anatomic cohesive silicone gel breast implants. Aesthetic Plast Surg 33:49–53 Panchapakesan V, Brown MH (2009) Management of tuberous breast deformity with anatomic cohesive silicone gel breast implants. Aesthetic Plast Surg 33:49–53
21.
go back to reference Longacre JJ (1954) Correction of the hypoplastic breast with special reference to reconstruction of the ‘nipple type breast’ with local dermo-fat pedicle flaps. Plast Reconstr Surg 14:431–441CrossRef Longacre JJ (1954) Correction of the hypoplastic breast with special reference to reconstruction of the ‘nipple type breast’ with local dermo-fat pedicle flaps. Plast Reconstr Surg 14:431–441CrossRef
22.
go back to reference Maillard GF (1986) A Z-mammaplasty with minimal scarring. Plast Resconstr Surg 77:66–76CrossRef Maillard GF (1986) A Z-mammaplasty with minimal scarring. Plast Resconstr Surg 77:66–76CrossRef
23.
go back to reference Gautam AK, Allen RJ Jr, LoTempio MM, Mountcastle TS, Levine JL, Allen RJ, Chiu ES (2007) Congenital breast deformity reconstruction using perforator flaps. Ann Plast Surg 58:353–358CrossRefPubMed Gautam AK, Allen RJ Jr, LoTempio MM, Mountcastle TS, Levine JL, Allen RJ, Chiu ES (2007) Congenital breast deformity reconstruction using perforator flaps. Ann Plast Surg 58:353–358CrossRefPubMed
24.
go back to reference Versaci AD, Rozzelle AA (1991) Treatment of tuberous breasts utilizing tissue expansion. Aesthetic Plast Surg 15:307–312 Versaci AD, Rozzelle AA (1991) Treatment of tuberous breasts utilizing tissue expansion. Aesthetic Plast Surg 15:307–312
25.
go back to reference Delay E, Sinna R, Ho Quoc C (2013) Tuberous breast correction by fat grafting. Aesthetic Plast Surg 33:522–528 Delay E, Sinna R, Ho Quoc C (2013) Tuberous breast correction by fat grafting. Aesthetic Plast Surg 33:522–528
26.
27.
go back to reference Foustanos A, Zavrides H (2006) Surgical reconstruction of tuberous breast. Aesth Plast Surg 3:294–300CrossRef Foustanos A, Zavrides H (2006) Surgical reconstruction of tuberous breast. Aesth Plast Surg 3:294–300CrossRef
28.
go back to reference Panettiere P, Del Gaudio GA, Marchetti L, Accorsi D, Del Gaudio A (2000) The tuberous breast syndrome. Aesthetic Plast Surg 24:445–449 Panettiere P, Del Gaudio GA, Marchetti L, Accorsi D, Del Gaudio A (2000) The tuberous breast syndrome. Aesthetic Plast Surg 24:445–449
29.
go back to reference Teimourian B, Adham MN (1983) Surgical correction of the tuberous breast. Ann Plast Surg 10:190–193CrossRefPubMed Teimourian B, Adham MN (1983) Surgical correction of the tuberous breast. Ann Plast Surg 10:190–193CrossRefPubMed
30.
31.
go back to reference Ribeiro L, Accorsi A Jr, Buss A, Pessja MC (2002) Short scar correction of the tuberous breast. Clin Plast Surg 29:423–431CrossRefPubMed Ribeiro L, Accorsi A Jr, Buss A, Pessja MC (2002) Short scar correction of the tuberous breast. Clin Plast Surg 29:423–431CrossRefPubMed
32.
go back to reference Ribeiro L, Accorsi A Jr, Argencio V (2005) Tuberous breasts: a periareolar approach. Aesthet Surg J 25:398–402CrossRefPubMed Ribeiro L, Accorsi A Jr, Argencio V (2005) Tuberous breasts: a periareolar approach. Aesthet Surg J 25:398–402CrossRefPubMed
33.
go back to reference Elliott MP (1988) A musculocutaneous transposition flap mammaplasty for correction of the tuberous breast. Ann Plast Surg 20:153–157CrossRefPubMed Elliott MP (1988) A musculocutaneous transposition flap mammaplasty for correction of the tuberous breast. Ann Plast Surg 20:153–157CrossRefPubMed
34.
go back to reference Oroz-Torres J, Pelay-Ruata MJ, Escolan-Gonzalvo N, Jordan-Palomar E (2014) Correction of tuberous breasts using the unfolder subareolar gland flap. Aesthetic Plast Surg 38:692–703 Oroz-Torres J, Pelay-Ruata MJ, Escolan-Gonzalvo N, Jordan-Palomar E (2014) Correction of tuberous breasts using the unfolder subareolar gland flap. Aesthetic Plast Surg 38:692–703
35.
go back to reference Serra-Renom JM, Munoz-Olmo J, Serra-Mestre JM (2011) Treatment of grade 3 tuberous breasts with Puckett’s technique (modified) and fat grafting to correct the constricting ring. Aesthetic Plast Surg 35:773–781 Serra-Renom JM, Munoz-Olmo J, Serra-Mestre JM (2011) Treatment of grade 3 tuberous breasts with Puckett’s technique (modified) and fat grafting to correct the constricting ring. Aesthetic Plast Surg 35:773–781
Metadata
Title
Tuberous breast correction by using a single-stage “star-like” incision: an innovative technique
Authors
Giuseppe A. Ferraro
Francesco De Francesco
Bruno Di Pace
Antonio Guastafierro
Giovanni Francesco Nicoletti
Publication date
01-12-2017
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Plastic Surgery / Issue 6/2017
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-017-1278-y

Other articles of this Issue 6/2017

European Journal of Plastic Surgery 6/2017 Go to the issue