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Tuberous Breast Correction in Sydney

Dr Kourosh Tavakoli is Australia's Super Specialised Breast Surgeon
Dr Kourosh Tavakoli is Australia's Super Specialised Breast Surgeon
Dr Kourosh Tavakoli Member Of Australian Society Of Plastic Surgeons, International Society of Aesthetic Plastic Surgery, Australasian Society of Aesthetic Plastic Surgery, UNSW Australia, Fellow of the Royal Australasian College of Surgeons

Dr Tavakoli has developed a large practice specialising in Tuberous Breast Correction in Sydney.

Dr Tavakoli’s precision and experience makes him Australia’s leading surgeon for corrective breast procedures.

He has performed over 6000 breast procedures and has developed a reputation as Australian’s leading plastic surgeons for tuberous breast correction.

A pioneer of the minimally invasive camouflage technique in mild to moderate tuberous breasts and ‘tuberomastoplasty’ technique for severe cases, Dr Tavakoli has lectured on these methods both locally and internationally.

Tuberous breast deformity (also known as snoopy, cone-shaped or constricted base) is a congenital condition which can affect 1 in 20 women. Tuberous breasts occur when the breast tissue does not completely develop during puberty. This results in a deformed breast shape and can create severe breast asymmetry. The Tuberous condition affects young women in both breasts or seldom unilaterally, and can cause significant psychological stresses.

Tuberous breast develop in an unusual shape and in 90% of cases, involve some degree of asymmetry in size.Characteristics of tuberous breasts include large/puffy or constricted areola, excessively wide cleavage, deficient breast tissue, particularly in the lower breast pole and a short breast fold (distance between the nipple and breast crease). These characteristics can present in varying degrees but will often result in a narrow, constricted, tubular appearance of the breast. Pregnancy or rapid weight loss can convert mild tuberous breasts to severely tuberous breasts.

Tuberous Breast Progression Diagram.

Dr Tavakoli’s approach to Tuberous Breasts

Identification of tuberous breast is essential in achieving an optimal outcome for the patient. In many cases, patients with mild tuberous breasts present for a cosmetic breast augmentation without being aware they have this condition. Untreated patients who undergo implant augmentation will simply see an exaggeration of the deformity.

There are many degrees and variations when it comes to tuberous breast and in reality, the spectrum of tuberousness is vast and cannot easily be clarified according to a stringent set of criteria.

In Dr Tavakoli’s practice, tuberous breasts correction is thought of as a regional anatomical treatment.


Anatomical Considerations

  • Inframmamary Fold (IMF): Short nipple to IMF distance
  • Lower breast pole: Deficient breast tissue in lower pole
  • Nipple Areola Complex (NAC): Nipple protrusion, herniation, areolar size
  • Ptosis: Degree of breast sagging if present

The surgical correction of tuberous breast deformity is quite complex. Treatment options must be presented with emphasis on improvement in results and not achieving “perfection”.

Dr Tavakoli uses a number of different techniques to correct Tuberous Breasts including the following:

Camouflage technique

The surgical plan for the treatment of tuberous breasts will take into consideration the degree and combination of tuberous characteristics, age and importantly, patient expectation.

The camouflage technique colloquially referred to as scarless correction, involves a combination of minimally invasive techniques such as popcorning of the areola, nano and macro fat grafting and implant augmentation. Additionally, internal scoring of the breast tissue,release of tuberous bands and effacement flap technique are performed after the implant pocket has been dissected.

Case Study:

Short breast fold. Breast Augmentation with fat graft to lower pole
Short breast fold with nipple areola protrusion. Breast Augmentation with NAC pop corning, nano fat graft to areola and macro fat graft to lowew pole

IMF Manipulation

Effacement Flap Technique
Nano Fat Graft to old IMF

Nipple Areola Complex

Intradermal Nano Fat Graft:
Harvested fat is injected around the nippled areola complex to conceal mild to moderate nipple areola protrusion.

Popcorning of Areola:

Tuberomastoplasty Technique:

In more severe cases of tuberous breasts, or moderate cases that combine multiple regional elements of tuberousness, a more invasive surgical correction may be required.

Dr Tavakoli has pioneered an advanced method of tuberous correction which involves the creation of a tuberopexy flap.

First an incision is made around the nipple and the tuberous tissue is removed. A flap is then fashioned out of the breast tissue and sutured down to create a better aesthetic contour to the breast, at the same time creating some thickness in the deficient lower pole.

This technique may or may not be performed at the same time as a breast augmentation. The decision to combine the procedure or stage it over two operations is decided on between Dr Tavakoli and the patient during the consultation.

Case Study:

Tuberomastoplasty, benelli lift, fat graft to sternum and breast augmentation.
two stage procedure Tuberomastoplasty, beneli lift, fat graft and breast augmentation.

Mixed Tuberous: Mastopexy with implants

In cases where tuberousness affects all regions of the breast and ptosis or sagging is present, a lollypop mastopexy may be required in addition to breast augmentation with or without fat grafting.

Case Study:

Breast augmentation, lollypop mastopexy and scoring of tuberous fascia.
Breast Augmentation with lollypop mastopexy and fat graft to lower pole.

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.




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