Retro-Areola Distally Based Flap in the Management of the Full Expression of Tuberous Breast: A Simple Strategy to Resolve a Weak Point of the Deformity

Tuberous breast is a rare congenital deformity which is likely to appear in various clinical forms, the worst being characterized by severe hypoplasia. This clinical expression may represent one of the greatest challenges in breast surgery due to malformation memories that restrict the reshaping of the mammary cone that would not otherwise be solved through a simple breast augmentation. To improve the quality of the final results correction of the tuberous aspect often requires the use of adipo-glandular flaps frequently described in the literature to reconstruct the inferior mammary pole which works efficiently, even though a typical depression often remains between the inferior border of the areola and the closer skin to recall the memory of the tuberous aspect.