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Semin Plast Surg 2013; 27(01): 042-048
DOI: 10.1055/s-0033-1343996
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Hypoplastic Breast Anomalies in the Female Adolescent Breast

Sebastian Winocour
1   Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota
,
Valerie Lemaine
1   Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota
› Author Affiliations
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Publication History

Publication Date:
23 May 2013 (online)

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Abstract

Hypoplastic breast anomalies remain a reconstructive challenge. In this article, the authors review the spectrum of nonsyndromic breast hypoplasia in the adolescent girl, namely idiopathic breast hypoplasia and tuberous breast deformity. Challenges specific to this population include (1) identifying the ideal timing for surgery, (2) choosing the optimal reconstructive method while taking into consideration ongoing changes in the female body (e.g., future pregnancy), and (3) considering the use of a two-stage reconstructive approach to gradually expand the skin envelope. A comprehensive review of surgical techniques that address these conditions is provided, taking into account the evolution and the most recent advances in surgical techniques.

Keywords

breast hypoplasia - tuberous breast - adolescent
 

  • References

  • 1 Rosen P. Abnormalities of mammary growth and development. In: Rosen's Breast Pathology. Philadelphia, PA: Lippincott Williams & Wilkins; 2009: 23-27
    Google Scholar
  • 2 Shermak MA. Congenital and developmental abnormalities of the breast. In: Ismail Jatoi, Kaufmann M, , eds. Management of Breast Diseases. Heidelberg, Germany: Springer; 2010: 37-52
    CrossrefGoogle Scholar
  • 3 Sadove AM, van Aalst JA. Congenital and acquired pediatric breast anomalies: a review of 20 years' experience. Plast Reconstr Surg 2005; 115 (4) 1039-1050
    CrossrefPubMedGoogle Scholar
  • 4 Latham K, Fernandez S, Iteld L, Panthaki Z, Armstrong MB, Thaller S. Pediatric breast deformity. J Craniofac Surg 2006; 17 (3) 454-467
    CrossrefPubMedGoogle Scholar
  • 5 Haramis HT, Collins RE. Unilateral breast atrophy. Plast Reconstr Surg 1995; 95 (5) 916-919
    PubMedGoogle Scholar
  • 6 Oakes MB, Quint EH, Smith YR, Cederna PS. Early, staged reconstruction in young women with severe breast asymmetry. J Pediatr Adolesc Gynecol 2009; 22 (4) 223-228
    CrossrefPubMedGoogle Scholar
  • 7 Caouette-Laberge L, Bortoluzzi PA. Correction of breast asymmetry in teenagers. In: Hall-Findlay E, Evans G, , eds. Aesthetic and Reconstructive Surgery of the Breast. Philadelphia, PA: Saunders; 2010: 601-630
    CrossrefGoogle Scholar
  • 8 Youm T, Margiotta M, Kasabian A, Karp N. Complications of tissue expansion in a public hospital. Ann Plast Surg 1999; 42 (4) 396-401 , discussion 401–402
    CrossrefPubMedGoogle Scholar
  • 9 Jones GE. The patient and the surgeon. In: Bostwick's Plastic and Reconstructive Breast Surgery. St. Louis, MO: Quality Medical Publishing; 2010: 3-54
    Google Scholar
  • 10 Greydanus DE, Matytsina L, Gains M. Breast disorders in children and adolescents. Prim Care 2006; 33 (2) 455-502
    CrossrefPubMedGoogle Scholar
  • 11 McGrath MH, Schooler WG. Elective plastic surgical procedures in adolescence. Adolesc Med Clin 2004; 15 (3) 487-502
    CrossrefPubMedGoogle Scholar
  • 12 U.S. Food and Drug Administration. Silicone gel-filled breast implants. Silver Spring, MD: U.S. Food and Drug Administration;
    Google Scholar
  • 13 Argenta LC, VanderKolk C, Friedman RJ, Marks M. Refinements in reconstruction of congenital breast deformities. Plast Reconstr Surg 1985; 76 (1) 73-82
    PubMedGoogle Scholar
  • 14 Pryor LS, Lehman Jr JA, Workman MC. Disorders of the female breast in the pediatric age group. Plast Reconstr Surg 2009; 124 (1, Suppl) 50e-60e
    PubMedGoogle Scholar
  • 15 Dupéré S, Bergeron L, Bortoluzzi P, Del-Duca T, Caouette-Laberge L. Donor-site morbidity of the inferior gluteal musculocutaneous flap for breast reconstruction in teenagers. Ann Plast Surg 2007; 59 (6) 617-620
    CrossrefPubMedGoogle Scholar
  • 16 Rintala AE, Nordström RE. Treatment of severe developmental asymmetry of the female breast. Scand J Plast Reconstr Surg Hand Surg 1989; 23 (3) 231-235
    CrossrefPubMedGoogle Scholar
  • 17 Granzow JW, Levine JL, Chiu ES, Allen RJ. Breast reconstruction with gluteal artery perforator flaps. J Plast Reconstr Aesthet Surg 2006; 59 (6) 614-621
    CrossrefPubMedGoogle Scholar
  • 18 Boustred AM, Nahai F. Inferior gluteal free flap breast reconstruction. Clin Plast Surg 1998; 25 (2) 275-282
    PubMedGoogle Scholar
  • 19 Rees TD, Aston SJ. The tuberous breast. Clin Plast Surg 1976; 3 (2) 339-347
    PubMedGoogle Scholar
  • 20 Vecchione TR. A method for recontouring the domed nipple. Plast Reconstr Surg 1976; 57 (1) 30-32
    PubMedGoogle Scholar
  • 21 Bass CB. Herniated areolar complex. Ann Plast Surg 1978; 1 (4) 402-406
    CrossrefPubMedGoogle Scholar
  • 22 Williams G, Hoffman S. Mammoplasty for tubular breasts. Aesthetic Plast Surg 1981; 5 (1) 51-56
    CrossrefPubMedGoogle Scholar
  • 23 Puckett CL, Concannon MJ. Augmenting the narrow-based breast: the unfurling technique to prevent the double-bubble deformity. Aesthetic Plast Surg 1990; 14 (1) 15-19
    CrossrefPubMedGoogle Scholar
  • 24 Gruber RP, Jones Jr HW. The “donut” mastopexy: indications and complications. Plast Reconstr Surg 1980; 65 (1) 34-38
    PubMedGoogle Scholar
  • 25 Brink RR. Evaluating breast parenchymal maldistribution with regard to mastopexy and augmentation mammaplasty. Plast Reconstr Surg 1990; 86 (4) 715-719 , discussion 720–721
    PubMedGoogle Scholar
  • 26 Versaci AD, Rozzelle AA. Treatment of tuberous breasts utilizing tissue expansion. Aesthetic Plast Surg 1991; 15 (4) 307-312
    CrossrefPubMedGoogle Scholar
  • 27 Meara JG, Kolker A, Bartlett G, Theile R, Mutimer K, Holmes AD. Tuberous breast deformity: principles and practice. Ann Plast Surg 2000; 45 (6) 607-611
    CrossrefPubMedGoogle Scholar
  • 28 Choupina M, Malheiro E, Pinho C , et al. Tuberous breast: a surgical challenge. Aesthetic Plast Surg 2002; 26 (1) 50-53
    CrossrefPubMedGoogle Scholar
  • 29 von Heimburg D, Exner K, Kruft S, Lemperle G. The tuberous breast deformity: classification and treatment. Br J Plast Surg 1996; 49 (6) 339-345
    CrossrefPubMedGoogle Scholar
  • 30 Mandrekas AD, Zambacos GJ, Anastasopoulos A, Hapsas D, Lambrinaki N, Ioannidou-Mouzaka L. Aesthetic reconstruction of the tuberous breast deformity. Plast Reconstr Surg 2003; 112 (4) 1099-1108 , discussion 1109
    PubMedGoogle Scholar
  • 31 Panettiere P, Del Gaudio GA, Marchetti L, Accorsi D, Del Gaudio A. The tuberous breast syndrome. Aesthetic Plast Surg 2000; 24 (6) 445-449
    CrossrefPubMedGoogle Scholar
  • 32 Pardo A, Watier E, Georgieu N, Chevrier S, Pailheret JP. [Tuberous breast syndrome. Report on a series of 22 operated patients]. Ann Chir Plast Esthet 1999; 44 (6) 583-592
    PubMedGoogle Scholar
  • 33 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) 2040-2048
    PubMedGoogle Scholar
  • 34 Dinner MI, Dowden RV. The tubular/tuberous breast syndrome. Ann Plast Surg 1987; 19 (5) 414-420
    CrossrefPubMedGoogle Scholar
  • 35 von Heimburg D. Refined version of the tuberous breast classification. Plast Reconstr Surg 2000; 105 (6) 2269-2270
    PubMedGoogle Scholar
  • 36 Jones GE. Aesthetic problems and ancillary techniques. In: Bostwick's Plastic and Reconstructive Breast Surgery. St. Louis, MO: Quality Medical Publishing; 2010: 755-825
    Google Scholar
  • 37 Ribeiro L, Canzi W, Buss Jr A, Accorsi Jr A. Tuberous breast: a new approach. Plast Reconstr Surg 1998; 101 (1) 42-50 , discussion 51–52
    PubMedGoogle Scholar
  • 38 Elliott MP. A musculocutaneous transposition flap mammaplasty for correction of the tuberous breast. Ann Plast Surg 1988; 20 (2) 153-157
    CrossrefPubMedGoogle Scholar
  • 39 Atiyeh BS, Hashim HA, El-Douaihy Y, Kayle DI. Perinipple round-block technique for correction of tuberous/tubular breast deformity. Aesthetic Plast Surg 1998; 22 (4) 284-288
    CrossrefPubMedGoogle Scholar