Tuberous breast correction involves many complex considerations. Firstly, a plastic surgeon must be keenly aware of the different characteristics and features of the type of pathology present. This is critical because it may be seriously counterproductive if the wrong condition is treated using a procedure that's intended for a different type of pathology.
Once the medical professional has ruled out any incidence of other types of conditions other than tuberous deformity, it would then be necessary to identify the classification the particular condition. Just as it is important to identify the specific type of pathology present, it's also necessary to find out the severity of the particular type of condition present. Doing this will help determine the most effective mode of treatment, in order to deliver optimal results.
Thankfully, the methods of identifying and managing tuberous deformity have been continually advancing since the initial description of the condition in 1976. The treatment process itself would involve correction of different aspects of your breast. Apart from the breast tissue, the skin and areola also have to be considered.
i. Correcting the Breast Tissue
Obviously, the breast tissue is the single most important aspect in the overall treatment procedure. However, it's not the only part that would be corrected, since the skin and areola would also need a bit of work.
According to a 2013 study in the Seminars in Plastic Surgery journal, surgery may involve redistribution - either separately or in combination with augmentation of your breast tissue. How and whether this is done would depend on certain key considerations:
- Achieving breast symmetry - for someone who has breast asymmetry, such augmentation and redistribution of breast tissue would help in restoring just the right balance.
- A patient's desires - patients may have certain preferences concerning the expected outcomes of surgery, which would be implemented according to an informed evaluation by the surgeon.
ii. Correcting the Skin Envelope
In order to ensure optimal results, particularly in severe cases of tuberous breast deformity, your breasts must have an adequate skin envelope. However, this creates a further challenge in the surgical procedure, since only type 1 tuberous deformities have adequate skin envelopes.
In order to overcome the inadequacy of the skin envelope, it would be necessary to apply tissue expansion or locoregional flaps. This creates several options, including thoracoepigastric flaps, myocutaneous serratus anterior transposition flaps and Z-plasty.
iii. Correcting the Areola Region
Apart from correcting the breast tissue as well as the skin envelope, it might also be necessary to correct instances of increased areola size or herniated subareolar breast tissue. In order to achieve this aim, a procedure involving de-epithelialization of the periareolar skin would have to be carried out using an outer periareolar incision.
The combination of these three different types of procedures would ensure the resulting breast has a natural and appealing look. Indeed, correcting only the breast tissue without doing anything to rectify an increased areola size would only produce an unnatural appearance. Hence, the overall procedure aims to fully balance all parts of your breast.
Dr. Kourosh Tavakoli is a long-term expert in plastic surgery. He has successfully handled numerous cases of tuberous deformity, among other conditions. Through his expert care, you are assured of getting the results that you desire. Visit Dr Tavakoli tuberous breast webpage for more information on the procedure.