Mandrekas Apostolos D, Zambacos George J, Anastasopoulos Anastasios, Hapsas Dimitrios, Lambrinaki Nektaria, Ioannidou-Mouzaka Lydia
Artion Plastic Surgery Center, Athens 15451, Greece.
Plast Reconstr Surg. 2003 Sep 15;112(4):1099-108; discussion 1109. doi: 10.1097/01.PRS.0000076502.37081.28.
The tuberous breast deformity is a rare entity affecting young women bilaterally or unilaterally. The deformity is characterized by a constricting ring at the base of the breast, which leads to deficient horizontal and vertical development of the breast with or without herniation of the breast parenchyma toward the nipple-areola complex and areola enlargement. Several methods have been put forward to correct the deformity, but most of these fail to address the issue of the constricting ring and subsequently yield results that are not aesthetically satisfactory. A new approach to the treatment of the deformity is presented, which consists of a periareolar approach and rearrangement of the inferior part of the breast parenchyma by division of the constricting ring, thus creating two breast pillars. These pillars are allowed to redrape, and in cases of volume deficiency, a silicone breast implant is placed in a subglandular pocket. The procedure is completed by a donut-type excision to address the size of the nipple-areola complex. The technique has used on 11 patients (21 breasts) with excellent aesthetic results.
结节状乳房畸形是一种罕见的病症，可双侧或单侧影响年轻女性。该畸形的特征是乳房底部有一个收缩环，这会导致乳房在水平和垂直方向发育不足，伴有或不伴有乳腺实质向乳头乳晕复合体疝出以及乳晕增大。已经提出了几种方法来矫正这种畸形，但其中大多数都未能解决收缩环的问题，因此产生的效果在美学上并不令人满意。本文介绍了一种治疗该畸形的新方法，该方法包括乳晕周围入路以及通过切开收缩环对乳腺实质下部进行重新排列，从而形成两个乳房支柱。让这些支柱重新塑形，在体积不足的情况下，将硅胶乳房植入物置于腺体下间隙。通过环形切除来处理乳头乳晕复合体的大小，从而完成手术。该技术已应用于11例患者（21个乳房），取得了极佳的美学效果。
