The tuberons breast syndrome is the result of a complex series of defects w
ith various degrees of expression. However, much confusion has been generat
ed in the literature by the use of often inadequate terminology, which is p
artly the cause of multiplicity of managements being proposed that mainly a
im to correct the major defect and not the entire syndrome. The surgical ap
proach adopted by our group sterns from the improvement of classic techniqu
es, consisting essentially of a combination of periarcolar mastopexis, addi
tive mastoplasty, and gland base enlargement by cross incision. Our results
were fully satisfying both aesthetically and functionally. We achieved a c
orrect shape, resolved ptosys and reduced areolas with no double-fold effec
t, and attained good symmetry in more complex unilateral cases.