Tuberous breasts are a type of developmental malformation in which the mammary gland does not expand properly, so that the base does not widen and there are areas that do not develop. The gland, instead of expanding widthwise, expands mostly forward, so that, in severe cases, it becomes herniated within the areola, resulting in a protrusion of the areola to a greater or lesser degree. It is a deformity of the base of the breast. In severe cases the deformity is called Snoopy nose or goat breasts, because of its resemblance. It seems to be due to a thickening of the fascia covering the gland, which prevents its proper development.
Grades of tuberous breasts
There are several classifications, but they all coincide in differentiating according to the area that has not developed. Thus, type I corresponds to the missing breast in the lower inner quadrant of the breast, type II to the missing tissue in the entire lower pole (with a short distance from areola to submammary fold and lack of curvature typical of the lower pole of the breast) and type III, in which all breast tissue is missing and there is only a tuberous areola with a herniated gland underneath it.
How to detect that a woman has tuberous breasts?
Tuberous breasts are characterized by the absence of tissue in any of its quadrants, a short distance from the areola to the sulcus and a large herniated areola that protrudes from the breast.
What does the operation of tuberous breasts consist of and what aspects will have to be corrected?
It will always depend on the degree, but basically consists of restoring the shape of the breast, give volume and correct the tuberosity of the areola. To correct the shape and volume there are two techniques. The traditional one consists of remodeling the gland, expanding it by means of internal cuts or opening it like a book, to increase its base. The volume is achieved by means of a prosthesis and it is usually preferable for this type of breast the anatomical prosthesis, which gives more volume in the lower pole of the breast.
For some years fat has also been used, either to give shape and volume or just to give shape associated with an implant. The advantage of fat is that it gives shape without the need for glandular remodeling techniques. To associate fat to an implant will depend on the final volume desired by the patient, although usually the specialists in Plastic, Aesthetic and Reconstructive Surgery never advise very large implants in this pathology, because of the risk of secondary deformities due to an excess of implant base in relation to the width of the breast. The areola is usually reduced and flattened by removing skin around it and leaving a scar around it.
Results of tuberous breast surgery
A tuberous breast should never be treated with implants alone, since the probability of deformities (double groove) is high. It is always necessary to change the shape by internal remodeling or with fat. In this case, the results are very good, completely normalizing the shape of the breast.