Tuberous Breast Treatment: A New Photochemical Perspective

Centurion P.; Cavenago-Arce A.C.; Cavenago-Arce E.A.; Montenegro C. · Critical Reviews in Biomedical Engineering (2025) · DOI: 10.1055/s-0045-1802313

Resumen

Background Tuberous breast deformity is a congenital anomaly with several pre-sentations that has always been a real challenge for plastic surgeons. As such, we propose using the One Selective Tissue Engineering Photostimulation (STEP) tech-nique, which acts directly on the denaturalization of the fibrous septae, releasing the inframammary fold, and allowing a subglandular pocket creation. Materials and Methods The present retrospective descriptive study included 15 patients treated by the senior author using the One STEP technique from 2017 to 2020. All subjects received sedation and local anesthesia. The Meara et al./Kolker system was used to classify tuberous breast deformity in all patients. Our proposed protocol relies on infrared light at 1,210 nm wavelength, which has photochemical properties. Results From 2017 to 2020, 15 female patients with tuberous breasts underwent treatment with the One STEP technique. These subjects presented atraumatic results, less bleeding, and retraction of the areolomamillary herniation and nipple-areolar complex, enabling the placement of a subglandular round breast implant with a satisfactory outcome for the patients. Conclusion Although different techniques may be used to treat tuberous breasts, they do not always provide the same outcome in distinct classifications. In our study, patients with tuberous breast deformity underwent the same treatment using the One STEP technique, regardless of the classification, with one-stage correction, obtaining satisfactory outcomes in all cases. The One STEP technique showed excellent results in the treatment of patients with tuberous breasts, with less trauma, bleeding, and edema, in addition to a better postoperative recovery time.

Instituciones: Universidad Ricardo Palma