Vertical mastopexy for treatment of tuberous breast: case report and literature review

Authors

DOI:

https://doi.org/10.11606/issn.1679-9836.v105i5e-227442

Keywords:

Plastic Surgery Procedures, Breast, Surgery, Plastic, Breast implants, Esthetics

Abstract

Introduction: Tuberous breasts are aberrant breast shapes. Surgical management of tuberous breast deformities is a challenge for plastic surgeons. Due to the aesthetic implications, it is important for the surgeon to be able to identify them in order to provide appropriate patient management. Case Report: A twenty-year-old healthy patient sought outpatient plastic surgery due to breast asymmetry and bilateral areolar dilation, presenting a clinical picture compatible with type 1 tuberous breast deformity. She underwent vertical mastopexy, associated with bilateral breast implantation with a prosthesis, to correct the tuberous breast deformity. Method: Case information was obtained through anamnesis and medical records. The patient signed an informed consent form and rigorous research into the Helsinki principles was performed. Results: Correction of tuberous breasts involves several technical factors and individuals to be considered; several surgical techniques have been described. Vertical mastopexy, associated with breast implantation, may be effective for the correction of constricted breasts. Conclusions: The treatment of choice for tuberous breasts is based on individual assessment. The vertical mastopexy described in this study is an alternative for the treatment of constricted breasts.

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Author Biographies

  • Luís Gustavo Ramos Raupp Pereira, Universidade de Passo Fundo, Faculdade de Medicina da Universidade de Passo Fundo, Rio Grande do Sul. Brasil

    Acadêmico da Faculdade de Medicina da Universidade de Passo Fundo- Rio Grande do Sul - Brazil.

  • Maria Eduarda Tomasetto, Universidade de Passo Fundo, Faculdade de Medicina da Universidade de Passo Fundo, Rio Grande do Sul. Brasil

    Acadêmica da Faculdade de Medicina da Universidade de Passo Fundo- Rio Grande do Sul - Brazil.

  • Renan Mathias Ferreira Saltiél, Universidade de Passo Fundo, Faculdade de Medicina, Rio Grande do Sul. Brasil

    Acadêmico da Faculdade de Medicina da Universidade de Passo Fundo- Rio Grande do Sul - Brazil.

  • Igor Fagundes Sartori, Universidade de Passo Fundo, Faculdade de Medicina, Rio Grande do Sul. Brasil

    Acadêmico Faculdade de Medicina da Universidade de Passo Fundo - Rio Grande do Sul - Brazil.

  • Bruno Luiz do Amaral, Universidade de Passo Fundo, Faculdade de Medicina, Rio Grande do Sul. Brasil

    Acadêmico Faculdade de Medicina da Universidade de Passo Fundo - Rio Grande do Sul - Brazil.

  • Eduardo Madalosso Zanin, Universidade de Passo Fundo, Faculdade de Medicina, Rio Grande do Sul. Brasil

    Professor da Faculdade de Medicina da Universidade de Passo Fundo - Rio Grande do Sul - Brazil.

References

1. Charles H, Thorne CH, Chung KC, Gosain AK, Gurtner GC, Mehrara BJ, et al. Grabb and Smith’s Plastic Surgery. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2013.

2. Lozito A, Vinci V, Talerico E, Asselta R, Di Tommaso L, Agnelli B, et al. Review of Tuberous Breast Deformity: Developments over the Last 20 Years. Plast Reconstr Surg Glob Open. 2022;10(5):e4355. Doi: 10.1097/GOX.0000000000004355.

3. Dessy LA, De Santo L, Onesti MG, Fallico N, Mazzocchi M. Tuberous breast and predisposition to breast deformity in consanguineous. Breast J. 2018;24(1):51-4. Doi: 10.1111/tbj.12834.

4. Brown MH, Somogyi RB. Surgical Strategies in the Correction of the Tuberous Breast. Clin Plast Surg. 2015;42(4):531-49. Doi: 10.1016/j.cps.2015.06.004

5. Mandrekas AD, Zambacos GJ. Aesthetic reconstruction of the tuberous breast deformity: a 10-year experience. Aesthet Surg J. 2010;30(5):680-92. Doi: 10.1177/1090820X10383397.

6. Gasperoni C, Salgarello M, Gargani G. Tubular breast deformity: A new surgical approach. Eur J Plast Surg. 1987;9(4):141–145. Doi: 10.1007/BF00452767.

7. Kolker AR, Collins MS. Tuberous breast deformity: classification and treatment strategy for improving consistency in aesthetic correction. Plast Reconstr Surg. 2015;135(1):73-86. Doi: 10.1097/PRS.0000000000000823

8. Ferraro G, De Francesco F, Di Pace B, Guastafierro A, Nicoletti GR. Tuberous breast correction by using a single-stage “star-like” incision: an innovative technique. Eur J Plast Surg 2017;40:525–32. Doi: https://doi.org/10.1007/s00238-017-1278-y

9. Costagliola M, Atiyeh B, Rampillon F. Tuberous breast: revised classification and a new hypothesis for its development. Aesthetic Plast Surg. 2013;37(5):896-903. Doi: 10.1007/s00266-013-0124-2.

10. Grella R, D’Andrea F, Nicoletti GF, Lanzano G. Tuberous Breast Management: A Review of Literature and Novel Technique Refinements. Plast Reconstr Surg Glob Open. 2022;10(12):e4708. Doi: 10.1097/GOX.0000000000004708.

11. Hubaide M, Ono MT, Karner BM, Martins LV, Pires JA. Safe Augmentation Mastopexy: Review of 500 Consecutive Cases Using a Vertical Approach and Muscular Sling. Plast Reconstr Surg Glob Open. 2024 Jan 8;12(1):e5504. doi: 10.1097/ GOX.0000000000005504

12. Hubbard TJ. Vertical Augmentation Mastopexy with Implant Isolation and Tension Management. Plast Reconstr Surg Glob Open. 2019;7(6):p e2226 Doi: 10.1097/GOX.0000000000002226

13. Abbate OA, Fan KL, Nahabedian MY. Central Mound Mastopexy for the Correction of Tuberous/Tubular Breast Deformity. Plast Reconstr Surg Glob Open. 2017;5(11):e1545. Doi: 10.1097/GOX.0000000000001545

14. von Heimburg D, Exner K, Kruft S, Lemperle G. The tuberous breast deformity: classification and treatment. Br J Plast Surg. 1996;49(6):339-45. Doi: 10.1016/s0007-1226(96)90000-4.

15. Grolleau JL, Lanfrey E, Lavigne B, Chavoin JP, Costagliola M. Breast base anomalies: treatment strategy for tuberous breasts, minor deformities, and asymmetry. Plast Reconstr Surg. 1999;104(7):2040-8. Doi:10.1097/00006534-199912000-00014.

Published

2026-07-30

Issue

Section

Relato de Caso/Case Report

How to Cite

Pereira, L. G. R. R., Tomasetto, M. E., Saltiél, R. M. F., Sartori, I. F., Amaral, B. L. do, & Zanin, E. M. (2026). Vertical mastopexy for treatment of tuberous breast: case report and literature review. Revista De Medicina, 105(5), e-227442. https://doi.org/10.11606/issn.1679-9836.v105i5e-227442