Would rigottomy accompnied with lipofilling help in tuberous breast?

Doctor Answers 4

Rigotomy and lipofilling for tuberous breasts

In the right hands, rigotomy (named after Gino Rigotti, an esteemed Italian surgeon) and lipofilling can produce spectacular results. Talk to your surgeon, see their results and discuss the pros and cons in your situation.  This is a difficult technique as the sole correction of tuberous breasts and it is very surgeon dependent. The best technique for you is dependent on your specific needs. Cool new techniques are interesting but might not be the best option for your situation. Seek several opinions.


Chicago Plastic Surgeon
4.7 out of 5 stars 24 reviews

Tuberous Breast Deformity

Tuberous Breasts can have various degrees of deformity.  Rigottomy and Lipofilling may be of benefit for some patients, but that alone will not likely solve all the issues associated with tuberous breasts.  Frequently the areola is enlarged, there is frequently herniation of breast tissue at areola, a relatively low position of the areola, as well as a constriction of the breast tissue, ligaments and skin.  Rigottomy and lipofilling will only help with constriction of the ligaments but often there is still tight skin or not enough skin of the lower breast to allow for this area to stretch. 

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The use of rigottomy is not a good idea in general due to too much scarring, fat pooling and effectiveness. Fat grafting alone or combination with circumareolar lift works better. 

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.7 out of 5 stars 113 reviews

Tuberous breast treatment with fat grafting and rigottomies

Yes, rigottomies (using needles to release scar tissue percutaneously) and fat grafting can be used to treat tuberous breasts. Without an exam, however; it is difficult to determine whether you are an ideal candidate for that procedure, or other procedures used to treat tuberous breasts.It is best to schedule a consultation with a board certified plastic surgeon and discuss your options. Good Luck.

Ryan Hoffman, MD
Philadelphia Plastic Surgeon
5.0 out of 5 stars 33 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.