Tuberous breast deformity

The case study shown is a 21 yo female who presented to Dr Tavakoli with droopy tuberous breasts and wide cleavage. Lolly-pop breast lift and augmentation was performed with an areolar reduction, 320cc moderate profile anatomical implants placed in a Subglandular pocket. Her height was 174cm and weight 64kg.
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The Tuberous (snoopy or cone-shaped or constricted base) breast deformity can be common in the mild form but rare in the severe form. It usually affects young women bilaterally but when it is unilateral, it can lead to breast asymmetry. The condition is usually inherited and there are mild, moderate and severe grades that can cause significant psychological issues.

The Tuberous deformity is characterized by a constricting ring of tissue at the base of the breast. This leads to deficient horizontal and vertical development of the breast with or without herniation of the breast tissue toward the nipple-areola complex and areola enlargement. The different grades of tuberous breast deformity determines the surgical path for the patient.

Mild cases
A mild case can be improved dramatically with breast augmentation using an anatomical implant placed either dual-plane or sub glandular. This type of patient can expect a slightly longer healing process than a standard breast augmentation as the lower pole of the breasts needs to expand.

Moderate cases
A moderate case usually involves breast augmentation combined with a benelli lift and anatomical implants. The periareola incision is used to remove breast tissue and reduce the size of the areola. Fat Grafting may also be beneficial to the lower pole of the breasts.

Severe cases
A severe case may require breast augmentation with Lolly-pop breast Lift and fat grafting. The Lolly-pop technique is used to remove excess skin and breast tissue, adjustment of the nipple height and correction of asymmetry.

Tuberous breast correction is a procedure that is always tailor made to the patient. Pregnancy and rapid weight loss can convert mildly tuberous breasts to severely tuberous so patients are encouraged to maintain a healthy weight pre and post-surgery.

PSF would like to thank Dr Kourosh Tavakoli who specialises in ‘Tuberous Breast Deformity’ for his input into this blog post.