Congenital Breast Deformity & Reconstructive Surgery
Birth defects of the breast tissue have a sever impact on the psychological development of a young female patient. There are now improved techniques and better quality of implants for reconstruction. Dr. Broujerdi has a vast experience in helping patients with congenital breast anomalies such as, Poland Syndrome, Tuberous breast deformity, congenital chest wall deformity. The best time to correct such deformity would be after puberty and growth of the breast tissue at around 16 to 18 years of age, unless there is a severe psychological necessity.
Poland’s Syndrome is an uncommon birth defect characterized by underdevelopment or absence of the breast, chest muscle (pectoralis) rib cage, arm bone (radius), the thumb, and webbing of the fingers (syndactyl). The right side (twice as common) of body is most commonly affected and found three times more in males than females. The incidence is estimated to range from one in 7,000 to one in 100,000 live births. The cause of Poland syndrome is unknown. However, an interruption of the embryonic blood supply to the chest and upper extremity has been theorized. Most common presented case only effects the development of the breast.
Breast augmentation is usually preformed in two stages or as a single procedure depending on the extent of the deformity. Tissue expanders are placed under the skin muscle flap and once the desired volume and shape of the breast are achieved the tissue expanders are replaced with breast implants. The opposite breast is usually operated on as well either with a breast lift or breast lift and implant.
Tuberous Breast Deformity is not simply small or underdeveloped breasts, but they are constricted and develop into a tube shape or form a tube like structure. The effect of the deformity on the appearance of the breast can range from mild to severe, and typical characteristics include: enlarged, puffy nipple areolar complex, unusually wide spacing between the breasts, constricted small breast tissue, sagging, higher than normal breast fold, and narrow base at the chest wall. The condition can affect the ability of women to breastfeed as in some cases the breasts, including the milk glands, have not developed enough to produce breast milk.
Breast augmentation is usually preformed in two stages or as a single procedure depending on the extent of the deformity. Tissue expanders are placed under the subglandular or submuscular pockets and once the desired volume and shape of the breast are achieved the tissue expanders are replaced with breast implants preferably silicone and internally the breast are reshaped and the nipple areolar complex is decreased in size.
Chest Wall Deformity, Pectus Excavatum (hollows chest) is the most common congenital deformity of the anterior chest wall, in which the ribs and the sternum grow abnormally. It can either be present at birth or not develop until puberty. Pectus Carinatum, (pigeon chest) is a deformity of the chest characterized by a protrusion of the sternum and ribs. It is the opposite of pectus excavatum.
The breasts usually are effecter as well with less volume development. Breast augmentation is usually preformed after the chest wall has been reconstructed in sever cases. The in the minor cases breast or pectoral (in male patients) implants are used to camouflage the deformity as a one stage procedure.
Procedure is usually preformed as an out-patient surgery in an accredited ambulatory surgical center or hospital. Dr. Broujerdi prefers patients to spend at least one night at a private nursing facility hotel in Beverly Hills or over night stay at the hospital. Dr. Broujerdi prefers seeing his patients the next day for follow up. You should expect a minimum of one week of down time after this procedure, some patient will require longer healing period. Dr. Broujerdi’s professional office staff will assist with post surgical care information.
Dr. Broujerdi uses the latest techniques and innovations in plastic surgery to re-create a Natural appearance that you will Love.