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Cirugía Plástica Ibero-Latinoamericana

versão On-line ISSN 1989-2055versão impressa ISSN 0376-7892


ALI, Agustín H et al. Inverted double plane use in the treatment of tuberous breast. Cir. plást. iberolatinoam. [online]. 2019, vol.45, n.1, pp.27-36.  Epub 27-Fev-2020. ISSN 1989-2055.

Background and Objective

The tuberous breast is a congenital anomaly that can be evidenced throughout puberty with a high rate of presentation. It is characterized by alterations in form and structure, the lower pole being the most usual condition.

We present our 3 year experience using the double inverted plane technique in the correction of tuberous breast and evaluate our results.


Prospective 3 year study on 12 patients using as an alternative to the treatment an our authorship flap that uses the pectoralis major muscle in its distal portion, irrigated by the internal perforators (inverted dual plane), which provides greater coverage of the implant in the problem zone.


A 83% percentage of patients´satisfaction was obtanined with the proposed technique; results were evaluated by means of a satisfaction table at 8 months postoperative period.


In our experience, the inverted double plane technique with pectoralis major flap for tuberous breast plasty, provides greater coverage in the lower pole by using muscle coverage, with a constant, safe and known anatomy.

Palavras-chave : Tuberous breast; Iverted dual plane; Pectoralis major flap.

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