The condition of tuberous breast deformity can cause abnormalities of breast volume, volume distribution, breast shape and nipple areolar size and shape. Tuberous breasts are not simply small or underdeveloped breasts.
The effect of the condition on the appearance of the breast can range from mild to severe and typical characteristics include enlarged, puffy areola, the unusually wide spacing between the breasts, minimal breast tissue, sagging, higher than normal breast fold and narrow base at the chest wall. The condition can cause low milk supply in breastfeeding women. However, other physical aspects of fertility and pregnancy are not affected by the condition.
Any deformity of the breasts is only apparent during puberty and this may lead to psychosexual problems with girls in very early puberty, being affected psychologically due to the unusual shape of the breast. There are a number of degrees of severity depending on the constriction of the breast base, the level of the breast crease, the envelope, the breast volume and the nipple areolar complex. The severity will influence the type of treatment employed.
The principles of treatment are to expand the constricted base, lower the breast crease, increase the envelope, augment the volume, reduce the nipple areolar complex and the herniated breast tissue and restore symmetry to the breast.