Authors: Mia Demant, MD, Magnus Balslev Avnstorp, MD and Mia Steffensen, MD
Congenital abnormality with varying degrees of constriction, hypoplasia, areolar herniation, skin deficiency, and asymmetry.
Tuberous breasts present unique challenges in plastic surgery. As plastic surgeons, it’s imperative to possess a comprehensive understanding of tuberous breasts, from diagnosis to surgical techniques.
Tuberous breasts, also known as tubular breasts or constricted breasts, are marked by a narrow base, a tight lower pole, herniated areola, and insufficient tissue expansion during puberty. This leads to a conical or tubular appearance.
- Breast Augmentation: Expand breast tissue using implants to correct volume deficiency and achieve a more natural breast shape.
- Dual-Plane Technique: Address the tight lower pole and improve breast contour by placing implants partially beneath the pectoralis muscle.
- Breast Lift (Mastopexy): Correct nipple-areolar complex asymmetry, reposition herniated areolas, and reshape breast tissue.
- Areolar Reduction: Resize and reposition enlarged areolas to achieve better proportions.
- Tissue Expansion: Use tissue expanders to stretch constricted breast tissue gradually before implant placement (1).
Addressing tuberous breasts requires a multifaceted approach that combines surgical expertise, patient-centered care, and a deep understanding of the condition. By skillfully employing surgical techniques, effective communication, and psychological sensitivity, plastic surgeons can help patients with tuberous breasts achieve not only physical transformation but also a renewed sense of self-assurance and well-being.
- Kolker AR, Collins MS. Tuberous breast deformity: classification and treatment strategy for improving consistency in aesthetic correction. Plast Reconstr Surg. 2015 Jan;135(1):73–86.