Tuberous Breast: Clinical Evaluation and Surgical Treatment

Tuberous breast can cause major psychological problems in the affected women presenting a surgical challenge for the plastic surgeons. The management of the tuberous breast syndrome and its variants is best achieved by understanding the essence of the deformity. The abundance of techniques available in literature for correcting the tuberous breast attests to the great challenge of treating this deformity. Many procedures have same steps and the little variations permit to the surgeon to have a better surgical plan to improve the patient outcome. Is Authors opinion that Puckett technique is the better way to correct this deformity. Performing a superior pedicle flap of glandular tissue allows to the surgeon to discontinue the fibrous ring and to better expose the thoracic wall during inframammary fold reconstruction, and a good reshaping of glandular parenchyma is also permitted. Although the results are sometimes not perfect, the psychological impact of such treatment is extremely positive with an augmentation of self-esteem and a progressive normalization of social activities.