This is a malformation of the breasts consisting of a lack of
development of them and characterized by:
-
Deficit of tissue and narrowness of the base of the
breast
- Large
Areolas
- Herniation
of the mammary gland within the areola
- high
submammary fold
According to the deficiency
degree, several types are distinguished:
-
Type I: deficit in the inner lower quadrant
- Type
II: deficit in both lower quadrants
- Type
III: deficit in all four quadrants.
The type of deficit conditions the
surgical procedure. The objectives are:
-
to increase the base of the breast, giving a
suitable shape, eliminating the constriction of the base of the breast
-
to lower the submammary fold
-
to make the areola smaller and to eliminate
the constrictive periareolar ring causing the herniation of the gland within
the areola.
The technique consists of
eliminating the excess of skin removing a doughnout around the areola,
releasing the constrictive ring and approaching the deep part of glandula.
According to the type of deformity we have several options:
-
In type I I use a personal technique that consists of
taking part of the gland to fill up the inner part of the breast. The operation
is complemented with the placement of a silicone prosthesis to fill up and to
give volume.
- In
type II a glandular flap is designed to make the central and inferior aspect of
the breast. The medial and lateral part are filled up with a prosthesis.
- In
type III: the reconstruction relies on a silicone implant or a two-stage
reconstruction with a tissue expander.
Dr. J. Benito Ruiz, 1998-2000