|Procedure:||Reconstruction of tuberous breast|
|Indication:||Tuberous breast, constricted breast deformity, tubular breast|
|Associated procedures:||Breast augmentation, breast reduction, mastopexy, fat grafting|
|Incision:||Infra-mammary (in the breast fold) or periareolar (Around the breast areolar)|
|Length of hospital stay:||24 hours|
|Recovery:||10 – 14 days. No driving for two weeks. No vigorous training for six weeks|
Tuberous breasts, also known as constricted breasts or tubular breasts, are terms describing a condition that impacts growth and development of the normal breast shape. There are varying degrees or grades of deformity; with increasing grade of deformity there is increased complexity involved in the reconstruction.
The common presentation of this condition is a request for a breast augmentation. Most patients complain of asymmetrical shape and size, as well as a ‘snoopy dog’ appearance of the breast. This means the areolar is often dilated with a significant proportion of the breast herniating into the dilated areolar. The breast fold is commonly elevated and also asymmetrical when compared to the other side. Although this breast shape does not impact on function or increased risk of malignancy, it does impact on psychological and sexual well-being.
Addressing this problem starts with a comprehensive consultation with Dr. Zinn. Concerns are explored and goals identified. There is no one-size fits all solution and the options for reconstruction and improving the aesthetics of your breast will be presented to you. The chosen solution is decided upon together.
Surgery is performed under general anesthesia. Correction may entail an augmentation through an incision in the fold, or around the areolar. Commonly, the lower pole of the breast (the breast tissue beneath the areolar) is expanded with the help of the implant, and surgical ‘scoring’ (release). The areolar may be reduced in size and future herniation of breast into the areolar is prevented with specialized suture techniques. Drains may be inserted and usually removed at 24 hours. A postsurgical bra is necessary and worn for two months.
You are encouraged to rest for one to two weeks following the procedure. You will be able to return to work and driving at two weeks after surgery, and exercise at six weeks. Your final result can be expected by six months after the procedure, when the lower pole of your breast will have expanded. Dr. Zinn will employ scar management throughout this time to help optimize the aesthetic results.