TUBEROUS BREASTS: PROSTHESES, LIPOFILLING PARIS

PATIENTS WITH TUBEROUS BREASTS

Patients with a breast malformation in tube shape from adolescence onwards have what we call the tuberous breasts, related to a breast growth defect.

The criteria for establishing that the breasts are truly tuberous are as follows:

• An abnormality of the mammary base (breast implant zone);
• Breast asymmetry, sometimes major;
• Breast hypotrophy (low breast volume);
• A too-high submammary fold (fold under the breast);
• An overly large areola (nipple-areolar plaque), with areolar protrusion.

These criteria can be met in full or in part.

There is a classification (Grolleau) that defines the different stages of tuberous breasts :

- Grade or Stage I (benign form): absence of development of the inferomedial quadrant of the breast;

- Grade or Stage II: absence of development of the two lower quandrants of the breast;

- Grade or Stage III: failure to develop the whole breast.

When severe, this malformation of the breast can be a source of real discomfort for the patient. In most cases, however, the deformity can be satisfactorily corrected by surgical treatment.

More often than not, there is a problem of appearance and volume.

SURGICAL TECHNIQUES

Depending on the severity of the tuberous breast deformity, one or more combined techniques may be required to restore breast anatomy.

Tuberous breast surgery requires :

• Restore the breast base, i.e. the breast implantation on the chest ;
• Correct the areola size and its protusion;
• Create or redefine sub mammary fold.
• Restore breast volume.

To achieve this, here are the various treatments available: breast augmentation with breast prostheses, breast lipofilling and round block. All three procedures require general anesthesia.

The first consultation is used to make a diagnosis and request treatment.

Surgery is scheduled during the second consultation. The surgeon takes photos preoperative, these will be used for follow-up and comparison with post-operative photos.

Breast prosthesis

The breast prosthesis is an effective solution for restoring the breast base of a tuberous breast. The plastic surgeon can precisely measure the diameter of the breast base he wishes to project on the thorax.

The breast implants are made of silicone gel.

Their insertion requires a scar. This may be under the breast or at the areola.

The position of the scar is chosen according to the need for a combined procedure (such as an areola reduction). The combined procedure may include a prosthesis and a breast round-block, for example.

Breast lipofilling

The breast lipofilling is a cosmetic surgery technique. It involves removing a portion of the patient's own fat and reinjecting it into the breast after treatment. The fat is removed from stomach, hips, thighs and knees.

The advantage of this procedure is that only the patient's own tissue (fat) is used. In fact risks of rejection are zero.

The breast lipofilling is an interesting option if the patient has the amount of fat that is required. It is suitable for light to moderate breast volumes to be reconstructed.

It is possible to carry out several breast lipofilling. This requires several surgeries.

It is also common to combine a breast implant with lipofilling.

In some cases, the surgeon performs pre-implantation lipofilling. In other words, lipofilling precedes the installation of the implant.

Mammary round-block

Breast round-block is a technique that reduces the size of the areola and its protrusion by means of a circumferential scar. around the areola.

This technique can also be combined with implant placement. In this case, there will be a single scar around the nipple.

Breast symmetrization

Sometimes a breast symmetrization is necessary. It allows the areola to be raised or reduced in size.

To symmetrize and lift a breast, as with a breast lift, a T-shaped scar will be visible on the breast.