Aesthetic reconstruction of the tuberous breast deformity

被引:52
|
作者
Mandrekas, AD [1 ]
Zambacos, GJ [1 ]
Anastasopoulos, A [1 ]
Hapsas, D [1 ]
Lambrinaki, N [1 ]
Ioannidou-Mouzaka, L [1 ]
机构
[1] Art Plast Surg Ctr, Athens, Greece
关键词
D O I
10.1097/01.PRS.0000076502.37081.28
中图分类号
R61 [外科手术学];
学科分类号
摘要
The tuberous breast deformity is a rare entity affecting young women bilaterally or unilaterally. The deformity is characterized by a constricting ring at the base of the breast, which leads to deficient horizontal and vertical development of the breast with or without herniation of the breast parenchymia toward the nipple-areola complex and areola enlargement. Several methods have been put forward to correct the deformity, but most of these fail to address the issue of the constricting ring and subsequently Yield results that are not aesthetically satisfactory. A new approach to the treatment of the deformity is presented, which consists of a periareolar approach and rearrangement of the inferior part of the breast parenchyma by division of the constricting ring, thus creating two breast pillars. These pillars are allowed to redrape, and in cases of volume deficiency, a silicone breast implant is placed in a subglandular pocket. The procedure is completed by a donut-type excision to address the size of the nipple-areola complex. The technique has used on 11 patients (21 breasts) with excellent aesthetic results.
引用
收藏
页码:1099 / 1108
页数:10
相关论文
共 50 条
  • [1] Aesthetic reconstruction of the tuberous breast deformity
    Mandrekas, AD
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2004, 113 (07) : 2231 - 2232
  • [2] Aesthetic Reconstruction of the Tuberous Breast Deformity: A 10-Year Experience
    Mandrekas, Apostolos D.
    Zambacos, George J.
    [J]. AESTHETIC SURGERY JOURNAL, 2010, 30 (05) : 680 - 692
  • [3] Tuberous Breast Deformity: Classification and Treatment Strategy for Improving Consistency in Aesthetic Correction
    Mandrekas, Apostolos D.
    Zambacos, George J.
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2015, 136 (02) : 269E - 269E
  • [4] Aesthetic correction of tuberous breast deformity in a male-to-female transsexual patient
    Leffler, Mareike
    Horch, Raymund E.
    Bach, Alexander D.
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2007, 119 (03) : 1138 - 1140
  • [5] Tuberous Breast Deformity: Classification and Treatment Strategy for Improving Consistency in Aesthetic Correction
    Kolker, Adam R.
    Collins, Meredith S.
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2015, 135 (01) : 73 - 86
  • [6] Tuberous breast and predisposition to breast deformity in consanguineous
    Dessy, Luca Andrea
    De Santo, Liliana
    Onesti, Maria Giuseppina
    Fallico, Nefer
    Mazzocchi, Marco
    [J]. BREAST JOURNAL, 2018, 24 (01): : 51 - 54
  • [7] Aesthetic Correction of Tuberous Breast Deformity-Lessons Learned with a Single-Stage Procedure
    Bach, Alexander D.
    Kneser, Ulrich
    Beier, Justus P.
    Breuel, Christiane
    Horch, Raymund E.
    Leffler, Mareike
    [J]. BREAST JOURNAL, 2009, 15 (03): : 279 - 286
  • [8] The tuberous breast deformity: Classification and treatment
    vonHeimburg, D
    Exner, K
    Kruft, S
    Lemperle, G
    [J]. BRITISH JOURNAL OF PLASTIC SURGERY, 1996, 49 (06): : 339 - 345
  • [9] Tuberous breast deformity: Principles and practice
    Meara, JG
    Kolker, A
    Bartlett, G
    Theile, R
    Mutimer, K
    Holmes, AD
    [J]. ANNALS OF PLASTIC SURGERY, 2000, 45 (06) : 607 - 611
  • [10] Re: Tuberous breast deformity: Principles and practice
    Hodgkinson, DJ
    [J]. ANNALS OF PLASTIC SURGERY, 2001, 47 (01) : 97 - 98