As with any surgical procedure, Dr. Agha looks at each tuberous breast case as a unique challenge. He will study the degree of the disorder and the form of the breast development. Dr. Agha will then plan a customized approach for each breast. His goals are to create round, natural appearing breasts with appropriate cleavage.
The procedure involves lowering of the inframammary folds to a normal position, expansion of the lower breast skin and tissue, and reduction of the areola size to a normal diameter. Frequently, he is able to do this in one procedure by utilizing a breast implant. He will make an incision in the nipple-areola complex, and the implant will be placed under the breast tissue or the pectoralis muscle. Through the same incision, the inframammary fold is lowered and the constricted lower pole breast tissue is internally released by scoring the tissue to allow it to expand.
The procedure is completed by circumferential tightening and repositioning of the nipple-areola complex in a higher position. In severe circumstances, the extreme tightness and constriction of the breast skin will demand a staged surgical approach. During the first stage, a breast expander may be used to expand the lower breast skin over the course of several weeks. This is then followed by breast implant placement and completion of the remaining steps as above.