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Treatment of tuberous breasts utilizing tissue expansion

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Abstract

This article presents the tissue expansion technique for the treatment of the tuberous breast and its variant, the tubular breast. The treatment objectives are different in the two deformities, but, in general, one has to expand the base circumference of the breast, expand the skin of the lower hemisphere of the breast, release the skin tightness at the skin-areola juncture, lower the position of the inframammary fold, increase the volume of the breast skin envelope, reduce the size of the areola and correct its deformity, and perform a mastopexy when necessary. To achieve these objectives, we use a tissue expander introduced either beneath the breast or beneath the pectoral muscle through an incision along the inframammary fold. It is slowly expanded to the appropriate volume. The reconstruction is completed at the second stage when the size of the areola is reduced, the expander is exchanged for an implant, or the fill-port is removed. The tissue “herniation” is corrected and a mastopexy is performed when necessary. We treated seven tuberous breasts and three tubular breasts by the two-stage method. Eight reconstructions were completed successfully in two stages. An additional operation became necessary in two cases; one to treat an exposed expander, and another to correct a capsular contracture. The results have been uniformly good and compare favorably with those presented in the literature done by other methods. We recomment use of the combination expander/implant.

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References

  1. Argenta LC, Marks MW, Grabb WC: Selective use of serial expansion in breast reconstruction. Ann Plast Surg11:188, 1983

    Google Scholar 

  2. Austad ED, Rose GI: A self-expanding tissue expander. Plast Reconstr Surg70:107, 1982

    Google Scholar 

  3. Bartels RJ, Mara JE: Simultaneus reduction of areola and augmentation mammaplasty through a periareolar incision. Plast Reconstr Surg56:588; 1975

    Google Scholar 

  4. Bass CB: Herniated areolar complex. Ann Plast Surg1:402, 1978

    Google Scholar 

  5. Becker H: Breast reconstruction using an inflatable breast implant with detachable reservoir. Plast Reconstr Surg73:678, 1984

    Google Scholar 

  6. Dinner MJ, Dowden RV: The tubular/tuberous breast syndrome. Ann Plast Surg19:414, 1987

    Google Scholar 

  7. Elliott MP: A musculocutaneous transposition flap mammaplasty for correction of the tuberous breast. Ann Plast Surg20:153, 1988

    Google Scholar 

  8. Gibney J: The long term results of tissue expansion for breast reconstruction. Clin Plast Surg14:509, 1987

    Google Scholar 

  9. Glasmer E: Deformities and plastic operations of the female breast. Stuttgart: F. Enke, 1930

    Google Scholar 

  10. Lapin R, Daniel D, Hutchins H, Justice G: Primary breast reconstruction following mastectomy using a skin expander prosthesis Breast6:97, 1980

    Google Scholar 

  11. Longacre JJ: Corection of the hypoplastic breast with special reference to reconstruction of the “nipple type breast” with local dermo-fat pedicle flap. Plast Reconstr Surg14:431, 1954.

    Google Scholar 

  12. Neumann CG: The expansion of an area of skin by progressive distension of a subcutaneous balloon. Plast Reconstr Surg19:124, 1957

    Google Scholar 

  13. Radovan C: Breast reconstruction after mastectomy using a temporary expander. Plast Reconstr Surg69:69, 1982

    Google Scholar 

  14. Radovan C: Reconstruction of the breast after radical mastectomy using a temporary expander. ASPRS Plast Surg Forum1:41, 1978

    Google Scholar 

  15. Rees TD, Aston S: The tuberous breast. Clin Plast Surg3:339, 1976

    Google Scholar 

  16. Teimourian B, Adham NM: Surgical correction of the tuberous breast. Ann Plast Surg10:190, 1983

    Google Scholar 

  17. Toranto IR: Two-stage correction of tuberous breasts. Plast Reconstr Surg67:642, 1981

    Google Scholar 

  18. Vecchione TR: A method of recontouring the domed nipple. Plast Reconstr Surg57:30, 1976

    Google Scholar 

  19. Versaci AD, Balkovich ME, Goldstein SA: Breast reconstruction by tissue expansion for congenital and burn deformities. Ann Plast Surg16:20, 1986

    Google Scholar 

  20. Versaci AD, Balkovich ME: Tissue expansion. In: Habal M (ed): Advances in Plastic and Reconstructive Surgery, Chicago: Year Book Medical Publishers, 1984, p 129

    Google Scholar 

  21. Williams JE, Hoffman S: Mammaplasty for tubular breasts. Aesth Plast Surg5:51, 1981

    Google Scholar 

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Versaci, A.D., Rozzelle, A.A. Treatment of tuberous breasts utilizing tissue expansion. Aesth. Plast. Surg. 15, 307–312 (1991). https://doi.org/10.1007/BF02273878

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