Tuberous Breast Reconstruction and Augmentation
This is a 22 year old woman with a “tuberous breast deformity.” This refers to the fact that her right breast is significantly smaller than her left, it is constricted and “pinched” at the bottom, and the breast tissue “herniates” or pushes through the areola and nipple. It requires at least 2 stages to correct. Although she had a normal left breast, she wanted to have an overall augmentation. I first placed temporary implants that are inflatable (called “tissue expanders”) beneath the chest muscle (pectoralis major muscle). I had to release the underfold of the right breast to have symmetric contours. I expanded the implants over time to stretch out the pockets. Then, months later I replaced the tissue expanders with permanent silicone gel implants and brought the areolae (nipples) into a more symmetric position.