Congenital breast deformities, such as tuberous breast or hypo plastic breasts, can be treated with fat grafting.
A tuberous breast is a breast with a narrow breast base, skin deficiency (the breast envelope) and herniation of the nipple - areola (large areola). The breast presents with lower pole deficiency. It is a congenital condition and requires reconstructive surgery to restore the skin envelope and redistribute the volume.
Tuberous breast deformity mainly of the right breast; there is a skin deficiency at the lower pole of the right breast (constriction), the breast base is narrow and the nipple "herniates" (due to constriction).
Expansion of the lower pole (skin)
Adding volume to the breast with fat grafting
Nipple correction (reduction)
An expander is inserted underneath the breast gland. On an outpatient basis the expander is expanded over a period of 8 weeks. This procedure expands the skin at the lower pole and creates space for fat grafting.
Expansion creates a vascularized capsule around the expander. Fat is place between this capsule and the subcutaneous area. Several sessions are often needed to reconstruct a severely constricted breast. The expander is removed eventually and the breast is reconstructed with the patient's own tissue without implant.
Final result after 4 sessions of lipofilling 3 years after the last session. There is no implant and the breast is reconstructed with fat with a natural contour.