Mammoplastie d’augmentation des seins tubéreux hypotrophiques par implants. Stratégie chirurgicale en un temps sans dissociation cutanéo-glandulaire

Abstract

Among congenital breast malformations, the incidence of tuberous breasts is large, the shape abnormality is often accompanied by hypoplasia of the mammary gland and asymmetry. The psychological impact of this malformation is particularly important in these young girls at the end of puberty, in transit between adolescence and adulthood. The indication for augmentation by implants must be systematically associated with breast remodeling in order to obtain a good fit between the breast and the prosthesis. The increase in breast volume by implant remains relevant when fat reserves are insufficient to consider fat self-transfer. On the other hand, Augmentation by implants is a real challenge to obtain a good result and requires thinking and understanding the anomaly in order to follow a rigorous strategy that treats the different problems step by step. It is this strategy that we will develop with an original approach to glandular redistribution and management of areolar prolapse. This strategy is illustrated by a series of 145 patients operated between 2000 to 2021.