Fat Grafting for Congenital Breast Deformities

Breasts represent a highly significant part of the female body. They claim a special maternal function, allowing women to nourish and nurse their babies, but also hold cultural meaning through their connotations of sexuality and femininity. As such, breasts can influence how a woman feels about herself and play an essential role in her psycho-social well being. 

Unfortunately, in some women normal breast development is impaired because of a congenital & developmental defect and this  can cause a major, negative physical and psychological impacts during their puberty. 

There are a variety of congenital breast deformities including tuberous/tubular breasts, Poland Syndrome (the defect involves the chest muscles as well), and asymmetry (different size and/or shape of the breasts). Many breast deformities are the result of internal scar tissue that contracts and distorts the breast growing process during puberty and tissue around it, as what happen with the tubular breast, which is a consequence of a congenital band around the base of the breast.

It is a congenital deformity condition caused by breast tissue not proliferating properly during puberty due to fibrous band around it give it no space to grow and enlarge.  The condition is also called tuberous breasts. Characterized by:

  • Breasts narrower than preferred and tube-like, often pointing downward
  • Fold beneath the breast is higher than normal
  • Areola protrudes unnaturally
  • Underdeveloped size

So, tuberous breast is disproportionally shaped, appears tube-shaped with a puffy areola, narrow base, and nipple pointing downward. Usually, both breasts are affected but sometimes it is only one. 

It is important to differentiate tuberous breast from small size breast (micromastia) as in small size breast is completely normal in shape and development but just small in size while with tuberous breasts shape is changes due to the defect of breast development, many of tuberous breasts have been missed diagnosed as micromastia besides many women don’t seek treatment for it thinking it is just small size breast. For this reason, no proper statistic about percentage of tuberous breast plus miss diagnose can end with unsatisfactory breast outcome after correction if the surgeon did not take in consideration the correction of pathology of tuberous breast (constricting band).

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