The tuberous breast deformity is a congenital breast anomaly that becomes manifest at the time of puberty and breast development. The exact etiology is unclear. It is theorized that the deformity has an embryologic origin, and while there may be a genetic predisposition, no clear link has been determined with tuberous breasts. Its physical manifestations are attributed to a combination of connective tissue ring-constriction around the areola, and thin or hypoplastic areolar fascial (connective tissue) support. This can result in the puffiness and bulge of the nipple areolar complex. Asymmetry is a common hallmark of tuberous breast deformity, with discrepancies seen in breast volume, shape, areolar size, and breast droop.
Tuberous breast deformity correction is a very specialized procedure that often incorporates breast augmentation when necessary, but requires a variety of nuanced technical maneuvers to achieve the most consistent aesthetic outcomes. The most common problem is that tuberous breast deformity in its milder forms is commonly underappreciated and underdiagnosed. When unrecognized, treating the less obvious variants of the tuberous deformity with more common breast augmentation techniques will often fail to appropriately address the deficiencies and restrictions of the breast lower pole, and may worsen areolar herniation, resulting in a less pleasing breast shape. Moderate and severe forms of tuberous breast deformity require a delicate balance of breast reshaping, areolar balancing, and breast augmentation as indicated by the tubular breast deformity type and individual desires.
With so many different degrees of severity and asymmetry, no two tuberous breast corrections are the same. Each is as different as the individual’s breast shape, body type, and unique goals, and as different as the breast surgeon who performs them. Dr. Tafalla has a long-standing interest and specialty in safely achieving consistent and beautiful results with tuberous breast correction.