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Tuberous breast


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Anomalies of breast structure

The size and shape of the female breasts are individual. The difference is predicated on genetic heredity, the thickness of the subcutaneous-adipose layer, and endocrine profile.  According to average statistical data, the weight of the mammary gland in a young woman who hasn’t given birth is in the range of 200-400 grams. That said, virtually all women have asymmetrical breasts: as a rule, the left breast is slightly bigger than the right. 

However, there are also anomalies in the development and structure of the breasts which fortunately can be corrected through plastic surgery:

  • significant asymmetry of the mammary glands,
  • tubular breasts,
  • enlarged areola, 
  • invaginate (retracted) nipple.

Tubular breasts

A special kind of incorrect breast development is tubular breasts - a condition in which the shape of the breasts is reminiscent of extended tubes.  That said, tubular breasts may occur and be accompanied by a number of factors:

  • Asymmetrical breasts
  • Deficit of glandular tissue in the lower quadrants
  • Protruding parenchyma of the mammary glands through the nipple-areola complex
  • Enlarged diameter of the nipple-areola complex
  • Short distance between the edge of the nipple-areola complex to the submammary groove. 
  • Small diameter of the base of the mammary glands.

Correcting tubular breasts

Plastic surgery has no universal method for the correction of tubular breasts; here, what’s always needed is a combination of various techniques aimed at:

  • Elimination of the constrictive fascial ring, i.e. expansion of the compressed base of the mammary gland. 
  • Modification of the glandular parenchyma /Ribeiro, Puckett method/; circular, transverse separation of the glands - methods aimed at achieving the proper and more even distribution of the glandular tissue of the breast. 
  • Correction of breast size - the use of tissue expanders, implants or a reduction
Before
after**
photo after 11 months. The GrandMed patient had a circular mastopexy, and was given 335 ml implants with modification of the glandular tissue and the formation of three flaps.

The surgical plan for the correction of tubular breasts includes:

  • Elimination of herniated protruding parenchyma of the mammary glands. 
  • Reduction in the diameter of the nipple-areola complex.
  • Elimination of constriction and expansion of the base of the breast.
  • Lowering of the underbust groove.
  • Work with MG volume (augmentation or reduction - depending on texture).
Before
after*
photo after 6 months. The GrandMed patient had a circular mastopexy according to the Benelli method, and was given a 335 ml implant on the right and a 360 ml implant on the left, with modification of the glandular tissue and the formation of three flaps on the left.

Problems resistant to correction in the elimination of tubular breasts:

  • DOUBLE BUBBLE – double contour of the bottom slope of the breast
  • Flat contours of the bottom slope. 
  • Insufficient soft tissue to cover the lower part of the implant.
  • Residual asymmetry.
Plastic surgery to eliminate tubular breasts is difficult to plan and perform, depending high professionalism and qualification on the part of the surgeon.

Пластические операции по устранению тубулярной груди  являются сложными по планированию и выполнению, требуя от хирурга высокого профессионализма и квалификации.


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