Cosmetic Surgery and Beauty Magazine #66

easts
Case study
‘In order to insert an implant, the fibrous pocked needs to be opened and
an artificial pocket in the breast tissue needs to be created,’ Dr Flynn explains.
‘A number of incisions are made on the outside of the fibrous bundle to create
“pleats” and expand the space.’
In its most severe form, the tuberous abnormality is seen in all the quadrants
of the breast but there can be different varieties of the condition. For example,
constriction can occur only in the lower portion of the breast, while the top is fully
developed. Similarly, there can be differences between the two breasts – one
breast may be fully constricted, and the other normally developed.
‘The surgery is a balancing act, especially when there is unevenness between
the breasts, or within one breast,’ Dr Flynn explains. ‘For example, when the
constriction is only in the lower segment, the surgeon must create an even
balance between the upper and lower poles of the breasts. If the condition is
different between both breasts then it becomes about balancing the two.’
Dr Flynn often sees revision patients with tuberous breasts. If the previous
surgeon has been unaware of the condition, and fails to address the extra fibrous
tissue, the end results will be unbalanced and the implants won’t settle in their
intended position.
The final result of breast augmentation in patients with tuberous breasts can
be quite different than in those patients with naturally formed breast tissue.
‘Because tuberous breasts are tighter and more fibrous, there is often not a huge
capacity for great volume,’ Dr Flynn explains. ‘Directly after the augmentation,
the breasts might appear quite tight and straight, however this will improve
with time.’
Because the surgery involves disrupting glandular breast tissue – as opposed
to operating beneath this in regular augmentation surgeries, the recovery period
can be slightly longer for augmentation patients who have tuberous breasts.
There can also be more bruising and tenderness post-procedure.
‘It is important to remember that tuberous breasts is a medical condition,’
says Dr Flynn. ‘It is essential that patients with tuberous breasts consult a
skilled surgeon with experience in treating the condition. A unique technique
is required to open the fibrous breast tissue, create an implant pocket and
produce a balanced, aesthetically-pleasing result. While more complex than a
straightforward augmentation, it can achieve very satisfactory results.’ csbm
BEFORE
AFTER breast augmentation by Dr Flynn
BEFORE
AFTER breast augmentation by Dr Flynn
Severe tuberous breast deformity. Note the tubular “torpedo” like appearance and a very restricted base. This presents significant challenges in creating enough space to place the implant and to
expand the breast tissue and skin envelope to adequately accept the larger volume.
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