Background: Patients with tuberous breasts suffer of
psychosocial problems which may be aggravated with presence
of asymmetry. Plastic surgeons should fully understand the
developmental and anatomical basis of such deformity. The
surgical plan is individualized according to the severity of
deformity, presence of ptosis and degree of asymmetry. In
this study we aim to correct the whole pathology and improve
breast aesthetics in patients with bilateral asymmetric tuberous
breasts.
Methods: 8 female patients with bilateral asymmetric
tuberous breasts presented to outpatient clinic. Breast examination
and measurements were done. Surgical correction with
periareolar mastopexy and differential augmentation mammoplasty
were done in all cases.
Results: Patients' mean age was (28.7) years. All patients
had asymmetric breasts as regards; tuberous type, breast
volume, projection, areola diameter, nipple and areolar complex
position and degree of ptosis. Postoperatively, tuberous deformity
was corrected in all cases. Good symmetry, and
enhancement of breast volume and projection with naturallylooking
breasts are achieved. Intermammary distance was
tremendously decreased. Seven patients were highly satisfied,
(87.5%) one patient (12.5%) as only satisfied.
Conclusion: Periareolar mastopexy approach, efficient
release of constricting ring, repositioning of inframammary
crease and differential breast augmentation are keys to achieve
the best possible aesthetic outcome in managing tuberous
breast asymmetry.
“Level of Evidence: Level IV".