Tuberous breast deformity is best corrected with a breast
augmentation procedure via a peri-areolar approach. The tuberous breast has a
typical constellation of features. The breast base is usually restricted. The
areola is wide and there is often a herniation of breast tissue through the
areola. The breast is often hypoplastic
to various degrees.
The periareolar approach tends to be best for correcting this
deformity as the areolar incision allows greatest range to score and release the
constricting fibers and also allows appropriate correction of the fold levels.
In patients who are thin, I prefer silicone gel prosthesis as there is often
less rippling. Saline reconstruction is perfectly fine as well.
