Tuberous Breast Deformity
Description
Tuberous breast deformity on the left
High inframammary fold, deficiency of lower medial and lateral quadrants of the breast, enlarged areola with herniation of breast tissue, and grade II nipple ptosis.
On the right, she has hypomastia with grade II nipple ptosis.
Work-up
History
Personal or family history of breast cancer.
History of prior breast surgeries.
History of smoking/tobacco use.
Plan for future childbirth. Anticipated changes in weight.
Patient goals and expectations.
Physical examination
Characteristics of tuberous breast
Reduced breast diameter, high inframammary fold, deficient skin envelope inferiorly, breast hypoplasia, and herniation of breast tissue through the areola.
Grolleau classification of tuberous breast deformity
Type I: Deficiency of lower medial quadrant.
Type II: Deficiency of entire lower pole of breast.
Type III: Deficiency of all quadrants.
Regnault classification of ptosis (Table 26.1).
Key measurements
Distance from sternal notch to nipple, from nipple to inframammary fold; breast base diameter.