A developmental disorder of breast shape and growth in which the breast assumes a constricted shape. It affects ±1:200 women, who are often very self-conscious about their breasts. It is associated with herniation of breast tissue into the nipple areolar complex (NAC), constriction along the lower pole of the breast causing a poorly defined inframammary fold. Often the NACs are also lowered causing some sagging or patientosis. Usually both breasts are affected and asymmetrical, sometimes with significant asymmetry and severely deformed breasts.
Management Tuberous breasts are difficult to manage and usually take more than one operation to augment, lift, and reduce. A period of post-op settling is required before the tissue is fine tuned with secondary revisions.