Background and objective.

The tuberous breast is a developmental defect that is evident from puberty, a hypogenesis due to hypoplasia in diferent sectors of the breast.

The diversity of published techniques are focused on the static correction of the defect: the telescoped areola, the lack of volume in the lower quadrants, the constrictive lower pole, the high submammary groove, etc. Radiated sections of the gland, prosthetic correction, glandular flaps, dermo-fat flaps, muscle flaps, fat grafts, tissue expanders, extrovert glandular tissue removal, etc. have been proposed.

We want to contribute with our methodology, used in the last 20 years, where we add very important biomechanical concepts.

Methods.

Our contribution is based on involving the implant in a dynamic interrelation with the anatomical components to which it will be related, such as the pectoral muscle, the glandular cuts, the descent of the sulcus and an aponeurotic socket.

Results.

We use the Grolleau classification which determines 3 degrees according to the location of the defect. We describe the viscoelastic properties of tissue relaxation, diferentiating sliding relaxation from distension relaxation, diferent but fundamental concepts in surgical management. Finally, we expose the approaches used in each degree of the tuberous anomaly and the reason for the choice of inclusion planes and implants.

Conclusions.

This contribution is based on the treatment of the tuberous breast with a view of tissue biomechanics.

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