Tuberous breast deformity is a developmental anomaly that affects the shape of the breasts as they mature through puberty.
Sometimes called a “Snoopy Dog” deformity, the tuberous breast can present on a spectrum of changes, often asymmetrically. Some of the more consistent findings include:
A high infra-mammary fold
- This is the fold underneath the breast where the cup of the bra would normally sit. In tuberous breasts, this fold can sit as high as 5cm above the normal level.
A small footprint
- Hypothetically, if the breast was shaved off the chest wall, the remaining “potato” print of the breast on the chest wall is called the “footprint”. In tuberous breasts, this footprint is relatively small
Tubular shape of the breast
- As the breast develops and because of the small footprint, the breast assumes a tubular shape, as if the breast has been extruded out of a small opening like toothpaste.
- As a result of the high infra-mammary fold, the small footprint and the tubular shape, the breast will often hang down in a pendulous manner. The breasts could be described as “long” in shape.
- Tuberous breast deformity is almost always different on each side. One breast may be more severely affected than the other and sometimes one breast is quite normal in appearance.
There is a wide spectrum of changes that can occur from mild to severe. Changes begin to appear during puberty and become more obvious with development. Being overweight can often complicate the way that tuberous breasts present and sometimes patients who have had a dramatic weight loss can a very similar appearance with their breasts.
The timing of surgery is a very important consideration for a patient with tuberous breast during puberty and adolescence. Sometimes earlier surgery is considered to carry a patient through development before a more definitive surgery can be performed at a later date when breast growth has stabilised.
The goals of surgery are to re-establish symmetry and normalize breast shape, in line with physical development.
The techniques employed in revisional surgery are dependent on the degree of tuberous breast deformity.
Some of the techniques that are used in revisional breast surgery include:
- Breast implants
- Breast expanders
- Breast lifting
- Breast reduction
- Breast fat grafting
- Breast flap reconstruction
- Scar revisions
Most commonly, a combination of these techniques is required. Although for most patients, the result is achievable in one stage, for some, more than one stage of surgery is required.
Tuberous Breast Correction Adelaide
Dr Quoc Lam is a specialist plastic and reconstructive surgeon with his main focus on aesthetic and reconstructive breast surgery. Dr Lam will spend the time to listen to your story and your concerns. You should feel assured that his approach to your situation will be easy to understand with a focus on life balance and your lifestyle.
To find out more, to request a consultation with Dr Lam, please contact us today.