Aesthetic Correction of Tuberous Breast Deformity-Lessons Learned with a Single-Stage Procedure

Bach, Alexander D.; Kneser, Ulrich; Beier, Justus P.; Breuel, C.; Horch, Raymund E.; Leffler, Mareike

doi:10.1111/j.1524-4741.2009.00717.x

Cited by 15 publications

(6 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Asymmetry is common finding in tuberous breast deformity and it is very much related to discrepancies as regards; breast volume, shape, areola size, and degree of ptosis. We agree with Bach et al, [32] and Chen et al, [33] that breast symmetry especially breast shape is important and hard task to achieve. I III I I III I II III Right Breast Tuberous breast type III IV II II II II III II Left Breast II III III III I II III III Right Breast II III III II I I III We used periareolar mastopexy approach.…”

Section: Mandrekas and Zambacossupporting

confidence: 91%

“…This type of scoring was done for two reasons; to effectively release the constricting ring and also to expand the sparse glandular tissues to cover the breast implant. Scoring was done by many authors with different techniques; performing radial incisions of mammary base [1], full-thickness incision through skin, subcutaneous tissue, and breast [6], horizontal transection of the constricting ring and using the inferior portion for auto-augmentation [8], vertical transection of constricting at 6 O'clock and created two pillars sutured in a "double-breasted" fashion in the inferior part of the breast [3,32] or dividing the gland to the pectoralis fascia and performing radial scorings [15].…”

Section: Mandrekas and Zambacosmentioning

confidence: 99%

“…Many authors claimed that submuscular augmentation has many advantages, including; softer, more natural contour of the upper pole, increased soft tissue coverage, more durable breast position and decreased capsular contracture rates [37-41]. Bach et al, have inset the implant submuscular to provide better soft tissue coverage of the prostheses that could not be provided by the hypoplastic breast tissue and to reduce capsular contracture [32]. However they had reported a case with prosthesis dislocation.…”

Section: Mandrekas and Zambacosmentioning

confidence: 99%

See 2 more Smart Citations

Periareolar Approach for Correction of Bilateral Asymmetric Tuberous Breasts

Hilal

Sadek

2018

The Egyptian Journal of Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

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".

show abstract

Section: Mandrekas and Zambacossupporting

confidence: 91%

Section: Mandrekas and Zambacosmentioning

confidence: 99%

Section: Mandrekas and Zambacosmentioning

confidence: 99%

See 1 more Smart Citation

Periareolar Approach for Correction of Bilateral Asymmetric Tuberous Breasts

Hilal

Sadek

2018

The Egyptian Journal of Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…4,5,7,8 Other authors supported the hypothesis of strong adherence between the dermis and the deeper muscle layer and presence of the constricting fibrous ring at the glandular base, preventing radial expansion and promoting a more protuberant and tubular shape of the glands. 9,10 Another theory suggests an implication of hormonal action, which normally promotes breast enlargement during puberty. In particular, estrogenic hormones normally induce horizontal growth of the galactophorous ducts with a horizontal widening of the NAC.…”

Section: Methodsmentioning

confidence: 99%

Review of Tuberous Breast Deformity: Developments over the Last 20 Years

Lozito

Vinci

Talerico

et al. 2022

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background: Tuberous breast (TB) deformity is a condition characterized by alterations in breast morphology and tissue structure with high prevalence in the general population. The literature provides sparse descriptions of TB, as not many investigations on the condition have been conducted. The aim of this review was to analyze and provide a holistic overview on the morphological characteristics of the TB. Methods: A review of current literature was performed using the PubMed database from 2001 to 2021. The key words used for the review included “tuberous breast,” “constricted breast,” and “stenotic breast.” We included articles that analyzed the anatomic and histologic characteristics of TB. Results: From 213 articles, only 42 met the inclusion criteria. A total of 171 articles were excluded, as they were letters, not related to the condition, or were written in a foreign language. The studies in this review drew on hypothesis on the embryological origin of TB and analyzed the composition of TB tissues, consisting in a constricting fibrous ring, made of longitudinally arranged collagen and elastic fibers. Furthermore, the review reports the different anatomical and surgical classifications, as well as the various surgical corrective procedures developed throughout history up to 2021. Conclusion: The review describes all etiological, epidemiologic, anatomical, histological, and surgical characteristics of tuberous breast.

show abstract

“…From the beginning on, SBI associated with certain clinical local side effects, such as pain, capsular contracture, implant rupture and silicone leakage. Many women still undergo a breast augmentation with SBI in aesthetic and reconstructive surgeries, i.e., after mastectomy [6][7][8]. SBI are supposed to be associated with atypical systemic symptoms such as myalgia, arthralgia, fatigue, fever, dry eyes and/or dry mouth (sicca), as well as cognitive disturbances [9,10], termed as the condition ''Autoimmune/inflammatory syndrome induced by adjuvants'' (ASIA) [11].…”

Section: Introductionmentioning

confidence: 99%

Effects of Silicone Breast Implants on Human Cell Types In Vitro: A Closer Look on Host and Implant

2022

Self Cite

View full text Add to dashboard Cite

Background Silicone (gel) breast implants (SBI) are used world-wide for breast augmentation, and reconstruction or to correct breast deformities. They consist of two compounds: an elastomer silicone shell (envelope) and a silicone gel filler (core). Breast Implant Illness (BII) is a term used for women with SBI, who suffer from various of symptoms including myalgia, arthralgia, fatigue, fever, dry eyes and/or dry mouth (sicca), as well as cognitive disturbances, which are rated by these woman as response to SBI. The pathogenesis of these adverse effects as well as the histocompatibility and the SBI-cell interaction of silicone and its surrounding tissue (implant-host tissue interface) is a subject of current research. The main purpose of this review is to provide an overview of the current knowledge regarding the effects of silicone (gel and elastomer surfaces) of a SBI on different human cell types from experimental - in vitro - models. Methods A comprehensive research was conducted by two independent reviewers in March and July of 2020 in the PubMed, MEDLINE, and Cochrane databases. Results A number of 1328 articles on this topic were initially identified, of which 62 could be finally included an analysed in this review. Conclusion SBI may lead to a physiologic pro-inflammatory and foreign body host response with fibrous encapsulation accompanied by a disturbed Th17/Treg balance and IL-17 production. No causal relationship is known for systemic symptoms and/or autoimmune outcomes in the context of BII. Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

show abstract

Aesthetic Correction of Tuberous Breast Deformity-Lessons Learned with a Single-Stage Procedure

Cited by 15 publications

References 22 publications

Periareolar Approach for Correction of Bilateral Asymmetric Tuberous Breasts

Periareolar Approach for Correction of Bilateral Asymmetric Tuberous Breasts

Review of Tuberous Breast Deformity: Developments over the Last 20 Years

Effects of Silicone Breast Implants on Human Cell Types In Vitro: A Closer Look on Host and Implant

Contact Info

Product

Resources

About