Tuberous Breast Deformity



10.1055/b-0034-97716

Tuberous Breast Deformity

Jessica M. Belz & Terence M. Myckatyn
A 44-year-old woman requesting correction of breast asymmetry.


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).























    Regnault classification of breast ptosis

    Grade


    Findings


    I


    Nipple at inframammary fold


    II


    Nipple below inframammary fold


    III


    Nipple at most inferior aspect of breast


    Pseudoptosis


    Nipple at or above inframammary fold with lower-pole breast ptosis



  • Key measurements




    • Distance from sternal notch to nipple, from nipple to inframammary fold; breast base diameter.

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Jun 18, 2020 | Posted by in General Surgery | Comments Off on Tuberous Breast Deformity

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