TUBULAR BREAST DEFORMITY RECONSTRUCTION SURGERY
The following patient is 18 years of age, who presented with her mother for severe tubular breast deformity. Components include decreased distance from the inferior areolar of the inframammary fold, hypoplastic lower breast, poorly defined inframammary fold and obvious herniation of breast tissue into the nipple areolar complex. She is an excellent candidate for a breast augmentation procedure using high profile implants in the dual plane technique. She wanted a very natural and simple result and therefore we took her from a 32A to a small C. A 280 cc high profile implant was filled to 315 cc. Using the dual plane technique, radial striation of the lower portion of the breast was accomplished of the pectoral major fascia and lower breast tissue in order to round out the breast. On both frontal and oblique views, it shows that the implant has been positioned precisely with good symmetry, good cleavage and symmetry of the inframammary fold.
Tubular breast reconstruction requires an approach that is safe and predictable. I believe the periareolar approach is easy in order to maintain the inframammary fold and release the lower pole of the breast in order to round out the breast, which is something lacking in tubular breast patients.