In the tuberous breast deformity the skin of the lower half of the breast remains attached to the chest wall & does not grow with the remainder of the breast during puberty. The result is a breast with less tissue below the nipple than above it & a high infra-breast skin crease. The developing tissue in some cases may be forced into or herniate into the darker tissue surrounding the breast nipple (areola) &/or may be constricted at its base. This may occur in one or both breasts. The difference between this scenario & small breasts is that small breasts are symmetrically smaller with respect to the circumference & center of the breast.
The treatment involves correction of the hernia if present, release of the constricted base & lowering of the attachment of the breast to the chest wall (inframammary or under the breast skin crease) with or without placement of a breast implant. If one merely places a breast implant without correcting the other problems the resulting breast will look far from normal. The deformity may be mild & therefore unnoticed until after breast augmentation which magnifies the deformity. This necessitates a return to the operating room to treat the deformity & improve the look of the breast implants.