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CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39(04): s00451802313
DOI: 10.1055/s-0045-1802313
Ideias e Inovações

Tuberous Breast Treatment: A New Photochemical Perspective

Article in several languages: português | English
Patricio Centurion 
1   Práctica privada, Lima, Peru
2   Associação dos Ex-Alunos do Professor Ivo Pitanguy (AEXPI), Rio de Janeiro, RJ, Brasil
3   Departamento de Investigación, Universidad Ricardo Palma, Lima, Peru
,
Alexandro Carlo Cavenago-Arce 
1   Práctica privada, Lima, Peru
2   Associação dos Ex-Alunos do Professor Ivo Pitanguy (AEXPI), Rio de Janeiro, RJ, Brasil
,
Edoardo Angello Cavenago-Arce 
1   Práctica privada, Lima, Peru
2   Associação dos Ex-Alunos do Professor Ivo Pitanguy (AEXPI), Rio de Janeiro, RJ, Brasil
,
Cynthia Montenegro 
1   Práctica privada, Lima, Peru
2   Associação dos Ex-Alunos do Professor Ivo Pitanguy (AEXPI), Rio de Janeiro, RJ, Brasil
› Author Affiliations

Financial Support The authors declare that they did not receive financial support from agencies in the public, private, or non-profit sectors to conduct the present study. Ensaios Clínicos Não. | Clinical Trials None.
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Abstract

Background Tuberous breast deformity is a congenital anomaly with several presentations that has always been a real challenge for plastic surgeons. As such, we propose using the One Selective Tissue Engineering Photostimulation (STEP) technique, which acts directly on the denaturalization of the fibrous septae, releasing the inframammary fold, and allowing a subglandular pocket creation.

Materials and Methods The present retrospective descriptive study included 15 patients treated by the senior author using the One STEP technique from 2017 to 2020. All subjects received sedation and local anesthesia. The Meara et al./Kolker system was used to classify tuberous breast deformity in all patients. Our proposed protocol relies on infrared light at 1,210 nm wavelength, which has photochemical properties.

Results From 2017 to 2020, 15 female patients with tuberous breasts underwent treatment with the One STEP technique. These subjects presented atraumatic results, less bleeding, and retraction of the areolomamillary herniation and nipple-areolar complex, enabling the placement of a subglandular round breast implant with a satisfactory outcome for the patients.

Conclusion Although different techniques may be used to treat tuberous breasts, they do not always provide the same outcome in distinct classifications. In our study, patients with tuberous breast deformity underwent the same treatment using the One STEP technique, regardless of the classification, with one-stage correction, obtaining satisfactory outcomes in all cases. The One STEP technique showed excellent results in the treatment of patients with tuberous breasts, with less trauma, bleeding, and edema, in addition to a better postoperative recovery time.

Keywords

breast - breast implant - lasers - lipectomy - mammaplasty - stem cell transplantation

Authors' Contributions

PHC: study conception and design, conceptualization, data curation, final manuscript approval, investigation, methodology, project administration, surgeries, experiments, or both performance, writing - original draft preparation.


ACCA: data analysis, interpretation, or both, study conception and design, conceptualization, data curation, final manuscript approval, formal analysis, investigation, methodology, project administration, surgeries, experiments, or both performance, software, supervision, validation, visualization, writing - original draft preparation, review, and editing.


EACA: Data analysis, interpretation, or both, study conception and design, conceptualization, data curation, final manuscript approval, formal analysis, investigation, methodology, surgeries, experiments, or both performance, software, supervision, validation, visualization, writing - original draft preparation, review, and editing.


CM: Ddata analysis, interpretation, or both, study conception and design, conceptualization, data curation, formal analysis, investigation, methodology.




Publication History

Received: 11 March 2024

Accepted: 16 November 2024

Article published online:
10 February 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Patricio Centurion, Alexandro Carlo Cavenago-Arce, Edoardo Angello Cavenago-Arce, Cynthia Montenegro. Tratamento de mama tuberosa: Uma nova perspectiva fotoquímica . Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39: s00451802313.
DOI: 10.1055/s-0045-1802313