Periareolar Approach for Correction of Bilateral Asymmetric Tuberous Breasts

Abstract

Background: Patients with tuberous breasts suffer ofpsychosocial problems which may be aggravated with presenceof asymmetry. Plastic surgeons should fully understand thedevelopmental and anatomical basis of such deformity. Thesurgical plan is individualized according to the severity ofdeformity, presence of ptosis and degree of asymmetry. Inthis study we aim to correct the whole pathology and improvebreast aesthetics in patients with bilateral asymmetric tuberousbreasts.Methods: 8 female patients with bilateral asymmetrictuberous breasts presented to outpatient clinic. Breast examinationand measurements were done. Surgical correction withperiareolar mastopexy and differential augmentation mammoplastywere done in all cases.Results: Patients' mean age was (28.7) years. All patientshad asymmetric breasts as regards; tuberous type, breastvolume, projection, areola diameter, nipple and areolar complexposition and degree of ptosis. Postoperatively, tuberous deformitywas corrected in all cases. Good symmetry, andenhancement of breast volume and projection with naturallylookingbreasts are achieved. Intermammary distance wastremendously decreased. Seven patients were highly satisfied,(87.5%) one patient (12.5%) as only satisfied.Conclusion: Periareolar mastopexy approach, efficientrelease of constricting ring, repositioning of inframammarycrease and differential breast augmentation are keys to achievethe best possible aesthetic outcome in managing tuberousbreast asymmetry.“Level of Evidence: Level IV”.