Breasts are a very important feature of a woman's body. Well-positioned, well-contoured and cup-size proportionate to the body anatomy marks the beauty of a woman.
Unfortunate are the people who suffer from defects in the shape, cup size, proportion or any anomaly like missing nipple or missing areola. These problems might occur from birth or may be a result of an accident. Any such anomaly present from birth or childhood is called congenital breast anomaly.
A lot of cases are reported to suffer from congenital breast anomalies from birth in paediatrics clinic and that of plastic surgeons too. Thanks to modern day science and technology, treatment of such cases is possible in the hands of an expert cosmetic surgeon with the help of surgical intervention.
Although a congenital breast anomaly or tubular breast deformity would not have any functional implications, its psychological consequences on an adolescent patient can be tormenting. Following are some major consequences which can hamper a patient's confidence and peace of mind:
These consequences are scary and have a negative impact on the psychology of the patient. Therefore, it becomes imperative for the patient to seek tuberous breast deformity treatment or other breast anomalies treatment. The impact of the problem will be lessened by the timely surgical intervention so that the patient can lead a normal life.
The breast anomalies can be complex at times, which can pose a technical challenge for the surgeon. Hence earlier the age, the better and easier it becomes to get the following corrective procedures done:
The patients suffering from any kind of breast anomaly by birth seek help at the age of puberty. This is the time when the anomaly manifests itself peculiarly. Patients of this age are more aware of body defects.
In case the patient is a child with a severe anomaly, the defect can be cured in a single intervention or may even require more than one surgical corrective procedure over a number of years.
Following are the major of breast anomalies that can occur from birth:
1. Poland syndrome
This syndrome means a lack of muscle development on one side of the body. Also known as Poland anomaly or Poland sequence, it means the lack of chest muscle walls in the body one side and hence lopsided breasts. This anomaly implies either of the following:
The causes of Poland Syndrome are not specific but this can be due to underdevelopment of arteries in pregnancy which affects the growth in structures of chest and arm. In girls, the anomaly is sometimes highly significant. The breast is hardly developed.
What is the cure?
The surgeon takes note of anatomical structures that are not well developed and the aesthetic and functional irregularities. It is recommended to undergo reconstructive plastic surgery/ tubular breasts surgery/ tubular breasts deformity surgery.
At the beginning of puberty, the cosmetic surgeon places a tissue expander under the skin so that the skin stretches enough to match the other side.
After puberty when the breast is fully developed, the surgeon replaces the expander with a permanent implant. This is the corrective breast reconstruction surgery where the existing chest wall muscles or other muscles throughout the body are used to fill the missing portions.
2.Supernumerary Breasts and Nipples
This minor congenital malfunction is a relatively common case where one or more nipples are present in an unusual location. The nipple may be small, looking more like a birthmark. The extra nipple is present on the natural nipple or the milk line, extending from the axilla to the pubic region.
Supernumerary breasts are also called accessory breasts, which may occur with or without areola. Larger supernumerary nipples occur in aninframammary fold and are usually associated with the development of an extra breast. Such changes are more prominent during or after puberty. This problem does not cause functional malfunctioning,however.
What is the cure?
Undesirable or symptomatic supernumerary nipples are surgically removed with complete surgical excision. Breast tissue before the nipple is removed. The scars are generally minimal. It is usually an outpatient surgery where the patient is not required to stay overnight in the hospital.
3. Aplasia- Absence of Breast and Nipple
This is a disease that affects a child while in the womb. It shows effect while in puberty by the absence of one or both nipples. Worse still, as the patient ages, the breasts do not develop further. Since the formation of mammary gland and nipples are interconnected, the breasts also do not develop in the absence of nipples. However, there is a chance that small nipple with little or no breast tissue underneath develops.
In either case, the patient has to seek help to get back the most important gland in the body. This has aesthetic as well as psychological implications. This is possible in the hands of a cosmetic surgeon with the help of breast reconstruction.
What is the cure?
Breast Reconstruction is vital for good mental quality of life. For patients in puberty,the following steps are undertaken:
How will you choose the Cosmetic Surgeon and the Clinic?
For a technical intervention like the congenital breast anomalies, where there may be more than one surgery required, choosing the right cosmetic surgeon and the perfect clinic is of paramount importance. You need to check the following credentials to assure that you are at the right place:
Breast lift impacts the position of the breast and doesn’t affect the size of the breasts. However, there are two separate surgical processes called Breast Augmentation (also called augmentation mastopexy) which enhances the breast size or Breast Reduction (also known as reduction mastopexy) which minimizes the breast size. These surgeries aim at reviving the desired breast size and breast lift can be performed in conjunction with these interventions. Either of these surgeries can be done along with breast lift to get the desired cup size and position of the breasts.
You need to consult your cosmetic surgeon before considering a breast lift. The surgeon shall assess you and take note of your medical history along with your expectations. The implications and complications of the surgery will be duly discussed and the surgeon will apprise you of the precautions you need to take care of after the surgery.
Be specific about your expectations and what bothers you particularly about your breasts.
It isn’t a very complicated procedure if approached correctly. The position of the nipples and areolas are marked, anesthesia is administered and the surgery is done. The surgeon will remove extra flaccid skin and lift up the breast tissue to the proper location.
1. The surgeon will first mark the position of the nipples at its raised best while you are standing.
2. Anesthesia helps to relax and relieve pain. In general anesthesia you tend to sleep during the surgery.
3. The surgeon then makes an incision around the areola. The cut can be extended down the front of the breast from bottom of the areola to the crease.
4. Extra skin is then removed so that the breasts can appear firmer and protruding at the front.
5. With the help of stitches and skin adhesives, the incisions are then closed. These incisions are made at places where they aren’t usually visible.
Breast lift can be accompanied by breast augmentation or reduction surgeries. The aim of all the procedures is to give you the desired breast fullness, volume and position.
Following are some points which you need to take note of post the surgery:
1. Pain medications might be needed. Wear the bra or the support dressing as recommended by the surgeon.
2. You can resume work within 7-10 days. A week-off from work would suffice for recovery.
3. Follow the medications and diet as specified by the surgeon.
4. Stay-off from smoking. Smoking can cause wound-healing delays.
5. Avoid heavy lifting for at least a month and a half for recovery to be undeterred.
With these precautions, the healing and recovery will be faster. You need to adhere to the specifications prescribed by the surgeon.
Repeat Breast-lift: Some women might need a repeat breast lift as a part of the ‘touch-up’ procedure to improve the minor defaults and further enhance the overall appearance.
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