The tuberous or constricted breast abnormality refers to a condition that affects the shape and development of a woman’s breasts.
Here we will discuss the diagnosis and treatment options for the tuberous breast abnormality.
What are tuberous breasts?
The tuberous or constricted breast deformity refers to the congenital condition where one or both breasts have an abnormally reduced dimension relative to the volume of breast tissue present. This abnormality is often diagnosed in puberty when the breasts begin to develop. The severity of the condition varies from mild constriction of the lower pole to circumferential constriction with herniation of breast tissue into an enlarged nipple areolar complex.
The condition may be symmetric (both breasts similarly affected) but is usually asymmetric (affecting one breast only or affecting both breasts to different degrees). The term ‘tuberous’ is derived from the Latin word ‘tuber’ meaning swelling or lump, which describes the characteristic appearance of the breast. This condition can also occur in men. However, this is very rare.
Some common features of tuberous breasts include:
- A Constricted Base: Tuberous breasts often have a narrow base, which makes them appear elongated or tube-like.
- Enlarged Areolas: The areolas (the pigmented area around the nipples) may appear larger or puffy in relation to the rest of the breast.
- Insufficient Breast Tissue: Tuberous breasts typically lack sufficient breast tissue, leading to a less rounded and full appearance.
- Breast Asymmetry: This condition can affect one or both breasts, and there may be significant differences in size and shape between them.
- Emotional Impact: Tuberous breasts can affect self-esteem and body image, leading to emotional distress for some individuals.
Causes of tuberous breasts
The exact cause of tuberous breast abnormality is not fully understood. It is believed to be a result of a combination of genetic and developmental factors. While the condition is present from birth, its severity can vary widely among individuals.
Diagnosis
A diagnosis of tuberous breast abnormality is typically made based on physical examination and evaluation by a Specialist Plastic Surgeon. In some cases, radiology imaging may be used to assess breast tissue.
Treatment options
Breast Augmentation: Breast augmentation surgery with implants can help increase breast volume and create a more rounded shape.
Areola Reduction: Surgery can be performed to reduce the size of enlarged areolas and achieve a more proportionate appearance.
Breast Lift: In more severe cases, a breast lift (mastopexy) may be necessary to reshape the breasts and correct the constricted base.
Combination Procedures: Some individuals may benefit from a combination of breast augmentation and breast lift procedures to address all aspects of the condition.
Patients with genetic or acquired abnormalities in their breasts, such as tuberous breasts, may have breast augmentation performed in Perth, with part of the surgery covered by Medicare and private health insurance. It is important to emphasise that any medical procedure, including breast augmentation, should be considered with care and diligence.
Significant breast asymmetry is quite common and if the estimated volume difference between the tuberous breasts is greater than 10% of the volume of the smaller breast, then a Medicare item number applies. Under these circumstances, augmentation of the smaller breast is partly covered by Medicare and private health insurance rebates. This would significantly reduce the cost of both unilateral and bilateral breast augmentation in these circumstances.
If Medicare and private health insurance rebates apply, then in most cases, depending on the level of private health cover, the costs of implants as well as the cost of hospital accommodation and theatre fees are all fully rebatable. The only ‘out of pocket’ costs that will apply will therefore be those applicable to the Surgeon fee and the Anaesthetist fee.
Conclusion
With the guidance of a Specialist Plastic Surgeon, patients can explore various treatment options to achieve a more balanced appearance. It is important to prioritise health and well-being and make an informed decision regarding treatment. Remember, every patient is unique and the best approach will depend on individual goals and the severity of the condition. Patients should talk to their GP and obtain a referral if they feel that they have significant breast asymmetry or a constricted breast.
