The purpose of this the surgical procedure is the correction of a breast deformity known as goat breast, breast in Snoopy or Tubular breast.

Tuberous breast is defined as a constricted breast, both in length and width, with herniation of breast tissues into a hypertrophied areola. May or may not be combined with asymmetry or breast hypoplasia.

In this deformity, a constrictive fibroglandular ring consisting of fibrous tissues and ligaments of Cooper, narrow the base of the affected breast, giving tuberous appearance of like tube.

It observes that the gland do a herniation through the areola-nipple complex. It can sometimes accompanied by varying degrees of Mammary ptosis.

How the Operation is performed

The surgical procedure is usually performed under general anesthesia on an outpatient basis, and usually last less than 3 hours on average, depending on the complexity of the case.

The operation consists of a Circumareolar approach (around the circumference of the areolas), the instrumental release of skin is performed with glandular resection of fibrotic constructive ring to expand the breast.

Then the more distal relocation of inframammary fold is made and Mammary prostheses are placed below the muscle (although it can be placed behind the mammary gland => not advisable).

This surgical procedure is known as Rees Mastoplasty. If your breast are sagging (Mammary Ptosis), a corrective breast lift must be done (Mastopexy) in the same surgical procedure.

Possible Complications

Among  the complications that can occur in a very small number of patients, are the following:

  • Bleeding, hematomas
  • Infection
  • Circumareolar Hematomas
  • Dehiscence of the surgical incisions
  • Anomalous  healing (keloids, hypertrophic scars)
  • Prosthesis Dislocation (ectopic location) by high location of the prosthesis and poorly submammary fold relocated
  • Capsular Contracture
  • Muscle contracture
  • Prosthesis Extrusion (total or partial exposure of the prosthesis through surgical incision)
  • Prosthesis rejection

However, with proper care and control, evolution tends to be very satisfactory.

Recovery

The patients can make their normal lives after the first week, but must wait 8 weeks for exposure to the Sun, heat, go to beaches or physical exercises.

The pain or discomfort is mild and easily manageable with common painkillers. The patient must wear an orthopedic Bra for 15 days in the postoperative period and receive for that same period of time, lymphatic drainage massages.

After that, the patient will use a Moulder Bra Style or Anatomical Contour Bra that will give the final shape and ideal Breast location until 8 weeks of postoperative evolution.

The recovery is fast, with very satisfactory final outcome. Without complications, a reasonable time of approximately 2 months is required to appreciate the excellent final result, permanent and very rewarding.

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