Achieving Breast Symmetry in a Patient With Neurofibromatosis-1: A Case Report and Literature Review

Summary: There is limited literature describing the management of breast deformities secondary to neurofibromatosis-1. We report the management of breast asymmetry and distortion secondary to neurofibromatosis of the chest wall and spine. A 24-year-old woman presented with breast asymmetry as a result of scoliosis, chest wall asymmetry, and soft-tissue distortion secondary to neurofibromatosis-1. The right breast displayed loss of projection, effacement of the inframammary fold, and caudal displacement. Ptotic tissue on the right hemithorax immediately caudal to the breast was folded superiorly in the retromammary region, thereby lifting the breast upward, increasing projection via auto-augmentation, and simultaneously intensifying the inframammary fold. Slight overcorrection was accomplished intraoperatively in anticipation of potential relapse. No postoperative complications were encountered. At 10-month follow-up, the patient continued to show a satisfactory outcome with improved symmetry and was very pleased with the outcome.