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.
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.
- 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:
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.
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:
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.
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.