D1. Same Versus Different Projection Implants in Asymmetric Tuberous Breasts: Analysis Long-term Outcome and Patient’s Satisfaction

PURPOSE: The aim of this study is to analyze the outcomes using same or different projection implants in patients with asymmetry grade A or B and tuberous breast grade I, II or III. METHODS: Inclusion criteria: Primary surgical procedure for correction of tuberous malformation; ≥2 years followup; standard pre and postoperative photodocumentation; proficiency in Italian language; signed consent for study participation. All procedures were performed by the same surgical team, using a singular or double superior glandular flap for the correction of the tuberous breast, using retroglandular round implants and circumareolar incision. All patients completed the BREAST-Q module, approximately 2 years postoperatively. Two plastic surgeons reviewed all postoperative photographs of treated patients and rated outcomes on a VAS scale of 1-5. We compared BREAST-Q and VAS scale results. RESULTS: 63 patients, aged between 20 and 35 years, were divided into 2 groups: group 1 (28 patients), same implants and gland resection of the bigger breast; group 2 (35 patients), same base and height but different projection and volume implant, using the bigger and more projecting implant in the smaller breast. Both the BREAST-Q and VAS scores were higher in group 2, which was also the one undergoing fewer secondary procedures (lipofilling) compared to group 1. CONCLUSION: This study highlights that in case of tuberous breast wih different degrees of severity and asymmetry, better and more predictable results with a lower reoperation rate are achieved using implants with different projection and volume.