Breast Implant and Fat Grafting With Radial Scoring for Tuberous Breast Deformity With Lower Pole Constriction: A Retrospective Cohort Study

Background: Diverse surgical techniques can be used to correct tuberous breast deformity (TBD). This study aimed to analyze lower pole expansion using breast implants and fat grafting with radial scoring for TBD correction. Methods: This retrospective study included patients who underwent TBD surgery between 2018 and 2022. All patients in whom a breast implant was used were included. Two groups were considered according to the use of fat grafting. Patients and surgeons assessed aesthetic outcomes at follow-up using the Aesthetic Items Scale. Results: Sixty-two patients (median age of 30 y) were included in the study. Fat grafting was performed in 42 (67.7%) patients, and the volume of fat used was 65 (35 –120) mL. No significant differences existed in radial scoring use (16 [80.0%] versus 35 [83.3%]) between the groups. In the fat grafting group, the Aesthetic Items Scale improved in shape, volume, symmetry, and total score. No patients reported altered sensitivity, and only 1 (1.6%) required revision surgery. Conclusions: Combining diverse surgical techniques (implants, fat grafting, radial scoring) was associated with good aesthetic outcomes in TBD correction. This approach may be considered a feasible surgical approach for TBD.