Treating Anisomastia and Tuberous Breast with Fat Grafting: Technique and Evaluation of Outcomes Using BREAST-Q Surveys

Papadopoulos, Sarantos; Colpaert, Steven D M; Goulis, Dimitrios G.; Nigdelis, Meletios P.; Grimbizis, Grigorios; Tio, Joke; Abdallah, Abdallah

doi:10.1007/s00266-021-02273-9

Cited by 14 publications

(7 citation statements)

References 32 publications

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“…5,[9][10][11][12][13][14] Some of these adult cohort studies have found autologous correction (relative to implant-based) to be associated with greater psychosocial well-being, sexual well-being, and satisfaction with outcomes. 5,10 However, other evidence suggests psychosocial well-being is greater following implant-based interventions rather than autologous methods. 10,12 Although these studies offer insight into patients' perspectives on outcomes, in practice, the most appropriate procedure depends heavily on patient-specific factors, such as degree of deformity, grade of asymmetry, age, BMI, and patient expectations regarding volume changes.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have attempted to compare the postoperative psychosocial benefits of these procedures using the BREAST-Q augmentation and/or reduction/mastopexy modules, as no specific psychometric measure presently exists for tuberous breast deformity. 5,[9][10][11][12][13][14] Some of these adult cohort studies have found autologous correction (relative to implant-based) to be associated with greater psychosocial well-being, sexual well-being, and satisfaction with outcomes. 5,10 However, other evidence suggests psychosocial well-being is greater following implant-based interventions rather than autologous methods.…”

Section: Discussionmentioning

confidence: 99%

“…2 The negative psychosocial impact of other benign breast conditions, such as macromastia and breast asymmetry, is well described. [3][4][5] In particular, baseline studies in young women with macromastia have found patients to have negatively affected health-related quality of life (HRQoL) outcomes, self-esteem, physical symptoms, and eating behaviors. 3,4 Similarly, baseline studies in young women with breast asymmetry have featured lower psychosocial well-being and self-esteem in these patients compared with their unaffected peers.…”

Section: Introductionmentioning

confidence: 99%

“…7,8 Most studies investigating the impact of tuberous breast deformity have found that affected women are more likely to have lactation difficulties compared with unaffected women, and several studies have evaluated the postoperative satisfaction of women undergoing corrective procedures. 5,[9][10][11][12][13][14][15] However, there are no reports on the impact of tuberous breast deformity on HRQoL, especially in a younger population. The aim of the current study was to quantify the physical and psychosocial effects of tuberous breast deformity, using a cross-sectional analysis from a prospective study inclusive of adolescent female controls.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Tuberous Breast on Adolescents: A Cross-sectional Study

Donnenfield,

Nuzzi,

McNamara

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Background: Tuberous breast deformity is a nondiagnostic, descriptive term for a congenital breast difference that becomes apparent at puberty. Although the negative physical and psychosocial effects of macromastia and breast asymmetry are established, no studies to date have explored the impact of tuberous breasts on health-related quality of life (HRQoL) outcomes using a robust sample size. Methods: In this cross-sectional study, HRQoL surveys were administered to adolescent women with tuberous breasts and healthy female controls, aged 12–21 years. Surveys included the Short-Form 36v2, Rosenberg Self-Esteem Scale, and Eating Attitudes Test-26. Demographics were compared, and linear regressions were fit to determine the effect of tuberous breast deformity on survey scores, with body mass index (BMI) category as a covariate. Results: Thirty-four patients with tuberous breasts and 264 controls participated. Patients with tuberous breasts had higher mean BMI than controls (P < 0.05). After adjusting for differences in BMI category, patients with tuberous breasts scored lower than controls on the Rosenberg Self-Esteem Scale and in Short-Form 36v2 domains related to physical and psychological health (P < 0.05, all). Compared with controls, patients with tuberous breasts had a higher mean score on the Eating Attitudes Test-26 (P < 0.05). Conclusions: Tuberous breast deformity may negatively impact patients’ physical and psychosocial HRQoL and increase their risk for disordered eating and higher BMIs. It is imperative that healthcare providers and third-party payors understand tuberous breast deformity is not just a cosmetic issue and tailor care and coverage policies accordingly.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Impact of Tuberous Breast on Adolescents: A Cross-sectional Study

Donnenfield,

Nuzzi,

McNamara

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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“…Lipofilling overall improved tissue release and breast pole filling. 2,16,29,30,34,36,37,[40][41][42][43][44][45][46][47] Fat graft was usually obtained from the periumbilical region through Coleman technique. The fat delivery was performed in a multiplanar, multidirectional fan-shaped technique to maximize the surface area of the graft.…”

mentioning

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

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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.

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