TUBEROUS BREAST - A NEW APPROACH

The authors make a historical summary of the pathologic condition of t uberous breast and describe a new procedure for irs correction. The me thod involves a periareolar approach, dividing the breast in two porti ons to disrupt the constricting ring, and making an inferiorly based f lap or pedicle, as described and used by the senior author since 1969, with publication in 1973. The main goal is to correct the deformity a t a one-stage operation, resulting in a periareolar scar only, without the use of alloplastic elements such as prostheses, mesh, or tissue e xpanders. The authors emphasize that Brazilian patients prefer having small breasts rather than large ones, even though the procedure allows the implantation of pre-or retromuscular implants through the periare olar incision.