Circumlateral vertical mastopexy in tuberous breast deformity

Korableva N.P.

Saint Petersburg State Pediatric Medical University

Zholtikov V.V.

Atribeaute Clinic

Bozhok A.A.

St. Petersburg State Pediatric Medical University

Lebedeva Yu.V.

Saint Petersburg State Pediatric Medical University

ORCID: 0000-0001-9116-9589

Circumlateral vertical mastopexy in tuberous breast deformity

Authors:

Korableva N.P., Zholtikov V.V., Bozhok A.A., Lebedeva Yu.V.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2022;(2): 11‑18

DOI: 10.17116/plast.hirurgia202202111

Downloaded: 208

To cite this article:

Korableva NP, Zholtikov VV, Bozhok AA, Lebedeva YuV. Circumlateral vertical mastopexy in tuberous breast deformity. Plastic Surgery and Aesthetic Medicine. 2022;(2):11‑18. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202202111

Подписка 2025-2 (Plastic Surgery and Aesthetic Medicine)

Close metadata

BACKGROUND

Type I tuberous breast deformity (according to Grolleau’s classification) is characterized by the hypoplasia of the lower medial quadrant of the mammary gland and ptosis of the lower lateral quadrant. This results in an aesthetic imbalance in the breast that has an unnatural and unattractive appearance.

OBJECTIVE

To propose a surgical technique ensuring the successful correction of hypoplasia of the lower medial gland quadrant combined with ptosis. The essence of the technique is augmentation mastopexy with circumlateral vertical access. In the presence of pronounced ptosis of the breast, it is combined with the horizontal component and rotation of the gland flap.

MATERIAL AND METHODS

The participants in the study were 26 patients (51 breasts) who were treated for type I tuberous breast deformity from 2015 to 2020. The average age of the patients was 34 years (within the range of 27—42 years). Patients from the 1st group were treated using the technique of circumlateral vertical mastopexy, and patients from the 2nd group using circumlateral vertical augmentation mastopexy with a horizontal component.

RESULTS

The average follow-up period was 36 months (9—60 months). Treatment was aimed to correct tuberous breast deformations of type I (according to Grolleau) combined with varying degrees of ptosis. The complication rate for all patients in this study was 5.4% — 1 patient (1.8%) had a hematoma, 1 (1.8%) had postoperative implant malposition, and 1 (1.8%) had visibility and palpability of the implant edges.

CONCLUSIONS

Circumlateral vertical access can be applied for augmentation mastopexy in patients who wish to simultaneously correct ptosis and type I tuberous breast deformity and perform breast augmentation.

Keywords:

tuberous breast deformity

hypoplasia of the lower medial quadrant

breast augmentation

augmentation mastopexy

lateral access

tubular breast

lateral mound mastopexy

Authors:

Korableva N.P.

Saint Petersburg State Pediatric Medical University

Zholtikov V.V.

Atribeaute Clinic

Bozhok A.A.

St. Petersburg State Pediatric Medical University

Lebedeva Yu.V.

Saint Petersburg State Pediatric Medical University

ORCID: 0000-0001-9116-9589

Received:

15.02.2022

Accepted:

10.03.2022

List of references:

Rees TD, Aston SJ. The tuberous breast. Clin Plast Surg. 1976;3:339-347.
Brown MH, Somogyi RB. Surgical strategies in the correction of the tuberous breast. Clin Plast Surg. 2015;42:531-549.
Grolleau JL, Lanfrey E, Lavigne B, Chavoin J, Costagliola M. Breast base anomalies: treatment strategy for tuberous breast, minor deformities, and asymmetry. Plast Rec Surg. 1999;104(7):2040-2048. https://doi.org/10.1097/00006534-199912000-00014
Korableva NP, Zholtikov VV, Ismagilov AKh, Dokhov MA, Lebedeva YuV. Valid BREAST-Q questionnaire for analysis of the outcomes in aesthetic breast surgery. Plastic Surgery and Aesthetic Medicine. 2020;4:17-22. (In Russ.). https://doi.org/10.17116/plast.hirurgia202004117
Tebbetts JB. Dual plane breast augmentation: Optimizing implant-soft-tissue relationships in a wide range of breast types. Plast Reconstr Surg. 2001; 107(5):1255-1272. https://doi.org/10.1097/00006534-200104150-00027
Tebbetts JB. Dual plane breast augmentation: Optimizing implant-soft-tissue relationships in a wide range of breast types. Plast Reconstr Surg. 2006; 118(7 suppl):81-98, discussion 99-102. https://doi.org/10.1097/00006534-200612001-00012
Benelli L. A new periareolar mammaplasty: the “round block” technique. Aesthetic Plast Surg. 1990;14:93-100.
Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ. Development of a new patient-reported outcome measure for breast surgery: The BREAST-Q. Plast Reconstr Surg. 2009;124:345-353. https://doi.org/10.1097/PRS.0b013e3181aee807
Mandrekas AD, Zambacos GJ, Anastasopoulos A, Hapsas D, Lambrinaki N, Ioannidou-Mouzaka L. Aesthetic reconstruction of the tuberous breast deformity. Plast Reconstr Surg. 2003;112:1099-1108, discussion 1109.
Zholtikov V, Korableva N, Lebedeva J. Tuberous Breast Deformity Correction: 12-year Experience. Aesthetic Plastic Surgery Journal. 2019;43(1):15-26.
DeLuca-Pytell DM, Piazza RC, Holding JC, Snyder N, Hunsicker LM, Phillips LG. The incidence of tuberous breast deformity in asymmetric and symmetric mammaplasty patients. Plast Reconstr Surg. 2005;116:1894-1899, discussion 1900-1901. https://doi.org/10.1097/01.prs.0000189206.94466.a9
Kolker AR, Collins MS. Tuberous breast deformity: Classification and Treatment Strategy for improving consistency in aesthetic correction. Plast Reconstr Surg. 2015;135(1):73-86. https://doi.org/10.1097/PRS.0000000000000823
Gulyas G. Marking the position of the nipple-areola complex for mastopexy and breast reduction surgery. Plast Reconstr Surg. 2004;113(7):2085-2090.
Hammond DC, O’Connor EA. The Lower Island Flap Transposition (LIFT) Technique for Control of the Upper Pole in Circumvertical Mastopexy. Plast Reconstr Surg. 2014;134(4):655-660. https://doi.org/10.1097/PRS.0000000000000521
Von Heimburg D, Exner K, Kruft S, Lemperle G. The tuberous breast deformity: Classification and treatment. Br J Plast Surg. 1996;49:339-345.
Bruck HG. Hypoplasia of the Lower Medial Quadrant of the Breast. Aesthetic Plast Surg. 1992;16(4):283-286. https://doi.org/10.1007/BF01570689
Abbate OA, Fan KL, Nahabedian MY. Central mound mastopexy for the correction Tuberous/Tubular Breast Deformity. Plast Reconstr Surg Glob Open. 2017;5(11):e1545. https://doi.org/10.1097/GOX.0000000000001545
Panchapakesan V, Brown MH. Management of tuberous breast deformity with anatomic cohesive silicone gel breast implants. Aesthetic Plast Surg. 2009;33:49-53.
Brown MH, Shenker R, Silver SA. Cohesive silicone gel breast implants in aesthetic and reconstructive breast surgery. Plast Reconstr Surg. 2005;116: 768-779.
Gasperoni C, Salgarello M, Gargani G. Tubular breast deformity: A new surgical approach. Eur J Plast Surg. 1987;9:141-145.
Persichetti P, Cagli B, Tenna S, et al. Decision making in the treatment of tuberous and tubular breasts: volume adjustment as a crucial stage in the surgical strategy. Aesthetic Plast Surg. 2005;29:482-488.
Mandrekas AD, Zambacos GJ. Aesthetic reconstruction of the tuberous breast deformity: A 10-year experience. Aesthet Surg J. 2010;30(5):680-692. https://doi.org/10.1177/1090820X10383397
Zholtikov V, Korableva N, Lebedeva J. Circumlateral Vertical Augmentation Mastopexy for the Correction of Ptosis and Hypoplasia of the Lower Medial Quadrant in Tuberous Breast Deformity. Aesthetic Plastic Surgery Journal. 2021;45(1):40-47.

Close metadata