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Tubular Breast Deformity: New Analysis and Classification

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Aesthetic Surgery of the Breast

Abstract

Congenital breast malformations have an incidence between 2 and 6 % with its range in severity from the relatively minor to major chest wall deformities. Throughout the breast’s development and evolution, alterations often appear due to volume excess (hypertrophies) or absence of volume (atrophy, hypotrophy), unequal development (asymmetries), or malformations (tuberous breasts).

The tuberous breast syndrome is a rare anomaly of breast shape, which can be associated to volume breast asymmetry affecting young women bilaterally or unilaterally. The author describes normal breast development and relates it to the tubular breast appearance in its different stages and clinical variants. Classifications are discussed. Significant clinical cases for each type are presented.

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References

  1. Hammond DC. Atlas of aesthetic breast surgery. Saunders: Elsevier Health Sciences; 2008. p. 187.

    Google Scholar 

  2. Mugea TT. Mastopexy/breast reduction with short inverted T scar. In: Shiffman MA, Di Giuseppe A, editors. Cosmetic surgery: art and technique. Berlin: Springer; 2013. p. 633–705.

    Chapter  Google Scholar 

  3. Graf RM, Bernades A, Auerswald A, Damasio RCC. Subfascial endoscopic transaxillary augmentation mammaplasty. Aesthetic Plast Surg. 2000;24(3):216–20.

    Article  CAS  PubMed  Google Scholar 

  4. Jinde L, Jianliang S, Xiaoping C, Xiaoyan T, Jiaqing L, Qun M, Bo L. Anatomy and clinical significance of pectoral fascia. Plast Reconstr Surg. 2006;118(7):1557–60.

    Article  PubMed  Google Scholar 

  5. Hughes LE, Mansel RE, Webster DJT. Breast anatomy and physiology. In: Hughes LE, Mansel RE, Webster DJT, editors. Benign disorders and diseases of the breast: concepts and clinical management. London: Baillière Tindall; 1989. p. 5–14.

    Google Scholar 

  6. Osborne MP. Breast development and anatomy. In: Harris JR, Hellman S, Henderson IC, Kinne DW, editors. Breast diseases. 2nd ed. Philadelphia: J. Lippincott Co.; 1991. p. 1–13.

    Google Scholar 

  7. Bostwick J. Anatomy and physiology. In: Bostwick J, editor. Plastic and reconstructive breast surgery. 2nd ed. St. Louis: Quality Medical Publishing; 2000. p. 89–93.

    Google Scholar 

  8. Moore KL. The integumentary system. In: Moore KL, editor. The developing human: clinically oriented embryology. 4th ed. Philadelphia: Saunders; 1988. p. 426–8.

    Google Scholar 

  9. WĂ¼ringer E, Mader N, Posch E. Nerve and vessel supplying ligamentous suspension of the mammary gland. Plast Reconstr Surg. 1998;101(6):1486–93.

    Article  PubMed  Google Scholar 

  10. WĂ¼ringer E. Refinement of the central pedicle breast reduction by application of the ligamentous suspension. Plast Reconstr Surg. 1999;103(5):1400–10.

    Article  PubMed  Google Scholar 

  11. Beisenberge H. Deformities and plastic operations of the female breast. Vienna: Ferdinand Enke; 1930.

    Google Scholar 

  12. Choupina M, Malheiro E, Pinho C, Ferreira A, Pinto A, Cardoso A, Reis J, Amarante J. Tuberous breast: a surgical challenge. Aesthetic Plast Surg. 2002;26(1):50–3.

    Article  PubMed  Google Scholar 

  13. Mandrekas AD, Zambacos GJ, Anastasopoulos A, Hapsas D, Lambrinaki N, Ioannidou-Mouzaka L. Aesthetic reconstruction of the tuberous breast deformity. Plast Reconstr Surg. 2003;112(4):1099–108.

    Article  PubMed  Google Scholar 

  14. Rees TD, Aston SJ. The tuberous breast. Clin Plast Surg. 1976;3(2):339–47.

    CAS  PubMed  Google Scholar 

  15. Grolleau JL, Lanfrey E, Lavigne B, Chavoin JP, Costagliola M. Breast base anomalies: treatment strategy for tuberous breasts, minor deformities, and asymmetry. Plast Reconstr Surg. 1999;104(7):2040–8.

    Article  CAS  PubMed  Google Scholar 

  16. Gabka JK, Bohmert H, Blondeel PN. Tuberous (tubular) breast deformity, plastic and reconstructive surgery of the breast. 2nd ed. Berlin: Thieme; 2008.

    Google Scholar 

  17. Von Heimburg D, Exner K, Kruft S, Lemperle G. The tuberous breast deformity: classification and treatment. Br J Plast Surg. 1996;49(6):339–45.

    Article  Google Scholar 

  18. Costagliola M, Atiyeh B, Rampillon F. Tuberous breast: revised classification and a new hypothesis for its development. Aesthetic Plast Surg. 2013;37(5):896–903.

    Article  PubMed  Google Scholar 

  19. Bass CB. Herniated areolar complex. Ann Plast Surg. 1978;1(4):402–6.

    Article  CAS  PubMed  Google Scholar 

  20. Mugea TT. Breast assessment and implant selection using the TTM aesthetic breast chart. In: Shiffman MA, editor. Breast augmentation. Berlin: Springer; 2009. p. 85–109.

    Chapter  Google Scholar 

  21. Foustanos A, Zavrides H. Surgical reconstruction of tuberous breasts. Aesthetic Plast Surg. 2006;30(3):294–300.

    Article  PubMed  Google Scholar 

  22. Pacifico MD, Kang NV. The tuberous breast revisited. J Plast Reconstr Aesthet Surg. 2007;60(5):455–64.

    Article  PubMed  Google Scholar 

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Correspondence to Toma T. Mugea M.D., Ph.D. .

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Mugea, T.T., Ifrim, M. (2015). Tubular Breast Deformity: New Analysis and Classification. In: Mugea, T.T., Shiffman, M.A. (eds) Aesthetic Surgery of the Breast. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43407-9_49

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  • DOI: https://doi.org/10.1007/978-3-662-43407-9_49

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-43406-2

  • Online ISBN: 978-3-662-43407-9

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