Tuberous Breast: Revised Classification and a New Hypothesis for its Development

The tuberous breast classification proposed by Grolleau does not account for a minor form of the deformity characterized by isolated nipple–areola protrusion with a normal breast base. We have observed this minor form in six patients with normal breast shape and in ten patients with hypertrophic bre...

Full description

Saved in:
Bibliographic Details
Published inAesthetic plastic surgery Vol. 37; no. 5; pp. 896 - 903
Main Authors Costagliola, Michel, Atiyeh, Bishara, Rampillon, Florence
Format Journal Article
LanguageEnglish
Published Boston Springer US 01.10.2013
Springer Nature B.V
Subjects
Online AccessGet full text

Cover

Loading…
Abstract The tuberous breast classification proposed by Grolleau does not account for a minor form of the deformity characterized by isolated nipple–areola protrusion with a normal breast base. We have observed this minor form in six patients with normal breast shape and in ten patients with hypertrophic breasts. We propose an anatomical and physiological hypothesis for the development of the mammary gland. The breast is subjected to hormonal influences as early as the prepubertal period. These influences result in thrusting forces with both horizontal (estrogen) and vertical (progesterone) vectors, unfortunately not always balanced and harmonious. Close observation of the anomaly in our patients substantiated the basic anatomical defect, namely, the structural congenital dermal weakness of the nipple–areola complex (NAC) already described in all forms of tuberous breast deformity. This weakness explains the morphologic anomaly and confirms that all types of tuberous breast deformity constitute a spectrum of a single entity. It indicates also that the classification of tuberous breasts should include, in addition to the three types (types I–III) already described, a fourth type (type 0) to describe isolated simple areola protrusion, either permanent or intermittent, that is associated with a normal mammary base. The revised classification of tuberous breasts and the proposed hypothesis of breast development allow better assessment of all possible variants of breast morphologic anomalies. In the six cases of isolated herniated NAC, the deformity was corrected through a perinipple approach (not circumareolar), with adequate stable correction of the deformity and minimal scarring. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
AbstractList The tuberous breast classification proposed by Grolleau does not account for a minor form of the deformity characterized by isolated nipple-areola protrusion with a normal breast base. We have observed this minor form in six patients with normal breast shape and in ten patients with hypertrophic breasts. We propose an anatomical and physiological hypothesis for the development of the mammary gland. The breast is subjected to hormonal influences as early as the prepubertal period. These influences result in thrusting forces with both horizontal (estrogen) and vertical (progesterone) vectors, unfortunately not always balanced and harmonious. Close observation of the anomaly in our patients substantiated the basic anatomical defect, namely, the structural congenital dermal weakness of the nipple-areola complex (NAC) already described in all forms of tuberous breast deformity. This weakness explains the morphologic anomaly and confirms that all types of tuberous breast deformity constitute a spectrum of a single entity. It indicates also that the classification of tuberous breasts should include, in addition to the three types (types I-III) already described, a fourth type (type 0) to describe isolated simple areola protrusion, either permanent or intermittent, that is associated with a normal mammary base. The revised classification of tuberous breasts and the proposed hypothesis of breast development allow better assessment of all possible variants of breast morphologic anomalies. In the six cases of isolated herniated NAC, the deformity was corrected through a perinipple approach (not circumareolar), with adequate stable correction of the deformity and minimal scarring. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.[PUBLICATION ABSTRACT]
The tuberous breast classification proposed by Grolleau does not account for a minor form of the deformity characterized by isolated nipple-areola protrusion with a normal breast base. We have observed this minor form in six patients with normal breast shape and in ten patients with hypertrophic breasts. We propose an anatomical and physiological hypothesis for the development of the mammary gland. The breast is subjected to hormonal influences as early as the prepubertal period. These influences result in thrusting forces with both horizontal (estrogen) and vertical (progesterone) vectors, unfortunately not always balanced and harmonious. Close observation of the anomaly in our patients substantiated the basic anatomical defect, namely, the structural congenital dermal weakness of the nipple-areola complex (NAC) already described in all forms of tuberous breast deformity. This weakness explains the morphologic anomaly and confirms that all types of tuberous breast deformity constitute a spectrum of a single entity. It indicates also that the classification of tuberous breasts should include, in addition to the three types (types I-III) already described, a fourth type (type 0) to describe isolated simple areola protrusion, either permanent or intermittent, that is associated with a normal mammary base. The revised classification of tuberous breasts and the proposed hypothesis of breast development allow better assessment of all possible variants of breast morphologic anomalies. In the six cases of isolated herniated NAC, the deformity was corrected through a perinipple approach (not circumareolar), with adequate stable correction of the deformity and minimal scarring.
The tuberous breast classification proposed by Grolleau does not account for a minor form of the deformity characterized by isolated nipple–areola protrusion with a normal breast base. We have observed this minor form in six patients with normal breast shape and in ten patients with hypertrophic breasts. We propose an anatomical and physiological hypothesis for the development of the mammary gland. The breast is subjected to hormonal influences as early as the prepubertal period. These influences result in thrusting forces with both horizontal (estrogen) and vertical (progesterone) vectors, unfortunately not always balanced and harmonious. Close observation of the anomaly in our patients substantiated the basic anatomical defect, namely, the structural congenital dermal weakness of the nipple–areola complex (NAC) already described in all forms of tuberous breast deformity. This weakness explains the morphologic anomaly and confirms that all types of tuberous breast deformity constitute a spectrum of a single entity. It indicates also that the classification of tuberous breasts should include, in addition to the three types (types I–III) already described, a fourth type (type 0) to describe isolated simple areola protrusion, either permanent or intermittent, that is associated with a normal mammary base. The revised classification of tuberous breasts and the proposed hypothesis of breast development allow better assessment of all possible variants of breast morphologic anomalies. In the six cases of isolated herniated NAC, the deformity was corrected through a perinipple approach (not circumareolar), with adequate stable correction of the deformity and minimal scarring. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Author Costagliola, Michel
Atiyeh, Bishara
Rampillon, Florence
Author_xml – sequence: 1
  givenname: Michel
  surname: Costagliola
  fullname: Costagliola, Michel
  organization: Department of Plastic, Reconstructive and Aesthetic Surgery, Toulouse University
– sequence: 2
  givenname: Bishara
  surname: Atiyeh
  fullname: Atiyeh, Bishara
  email: aata@terra.net.lb
  organization: Department of Plastic and Reconstructive Surgery, American University of Beirut Medical Center
– sequence: 3
  givenname: Florence
  surname: Rampillon
  fullname: Rampillon, Florence
  organization: Clinique des Universités, Dijon University
BackLink https://www.ncbi.nlm.nih.gov/pubmed/23636134$$D View this record in MEDLINE/PubMed
BookMark eNp1kE1LxDAQhoMoun78AC8S8OKlmo822fWm6yeIiih4C2k60Uq3WTOt4r83ZVVE8BAGMs-8yTzrZLkNLRCyzdk-Z0wfIGNCqYxxmY7IM7FERjyXIitEzpfJiEmVLrl6XCPriC8sQVrnq2RNSCUVl_mI3N73JcTQIz2OYLE7pHfwViNUdNpYxNrXznZ1aKltK2rpNbzTi4956J4Ba6Q-RFp3SE_gDZown0HbbZIVbxuEra-6QR7OTu-nF9nVzfnl9Ogqc1KLLvOucN4JJ4TXfOxKK7gXTFuux6UuGVMlm4jK51DxcsLGBUtr-KqqCieg4KWVG2RvkTuP4bUH7MysRgdNY1tI65jBg-ITmcuE7v5BX0If2_S7gZJMq5yLRPEF5WJAjODNPNYzGz8MZ2bQbRa6TdJtBt1mmNn5Su7LGVQ_E99-EyAWAKZW-wTx19P_pn4CDO-Ldg
CitedBy_id crossref_primary_10_1007_s00266_021_02273_9
crossref_primary_10_1097_SAP_0000000000001200
crossref_primary_10_1093_asj_sjac044
crossref_primary_10_1007_s00266_018_1115_0
crossref_primary_10_1007_s00266_017_1054_1
crossref_primary_10_1097_GOX_0000000000001024
crossref_primary_10_1053_j_semdp_2018_11_007
crossref_primary_10_17116_plast_hirurgia202304261
crossref_primary_10_1007_s00266_018_1072_7
crossref_primary_10_1891_CLINLACT_D_20_00021
crossref_primary_10_1007_s00266_015_0539_z
crossref_primary_10_1016_j_anplas_2022_06_002
crossref_primary_10_1097_PRS_0000000000010838
crossref_primary_10_1007_s00266_021_02387_0
crossref_primary_10_1016_j_jpra_2018_12_008
crossref_primary_10_1007_s00238_017_1278_y
crossref_primary_10_1111_tbj_13798
crossref_primary_10_1007_s00266_022_03149_2
crossref_primary_10_1007_s00266_021_02308_1
crossref_primary_10_1016_j_cps_2020_09_007
crossref_primary_10_1016_j_anplas_2021_08_003
crossref_primary_10_1097_AOG_0000000000001672
crossref_primary_10_1007_s00266_024_04032_y
crossref_primary_10_1097_PRS_0000000000000823
crossref_primary_10_1007_s00266_016_0650_9
crossref_primary_10_1007_s00266_021_02455_5
crossref_primary_10_1093_asj_sjy134
crossref_primary_10_1097_PRS_0000000000000397
crossref_primary_10_1111_tbj_12834
crossref_primary_10_1007_s00266_022_03171_4
crossref_primary_10_1007_s00266_013_0185_2
crossref_primary_10_1007_s00266_020_01700_7
crossref_primary_10_1007_s00266_017_0903_2
Cites_doi 10.1097/00006534-198001000-00007
10.1097/00006534-198105000-00012
10.1016/S1090-820X(98)70072-X
10.1177/1090820X10383397
10.1097/01.PRS.0000076502.37081.28
10.1097/00000637-198711000-00005
10.1097/00000637-198802000-00013
10.1097/00006534-200104010-00007
10.1007/s00266-005-0180-3
10.1016/j.bjps.2007.01.002
10.1111/j.1524-4741.2009.00717.x
10.1097/00006534-198105000-00013
10.1007/s00266-008-9234-7
10.1097/00006534-199801000-00008
10.1016/j.anplas.2007.02.007
10.1007/s002669900204
10.1097/PRS.0b013e31820a7fa7
10.1097/00000637-197807000-00007
10.1097/00006534-199912000-00014
10.1007/BF02390312
10.1016/j.asj.2005.05.013
10.1016/S0007-1226(96)90000-4
10.1007/BF02273878
10.1152/physrev.1980.60.4.1049
10.4172/plastic-surgery.1000689
10.1016/S0094-1298(20)30232-7
10.1097/01.prs.0000244312.37791.c8
ContentType Journal Article
Copyright Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2013
Copyright_xml – notice: Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2013
DBID CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
CITATION
3V.
7X7
7XB
88E
8AO
8FI
8FJ
8FK
ABUWG
AFKRA
BENPR
CCPQU
FYUFA
GHDGH
K9.
M0S
M1P
PQEST
PQQKQ
PQUKI
7X8
DOI 10.1007/s00266-013-0124-2
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
CrossRef
ProQuest Central (Corporate)
Health & Medical Collection
ProQuest Central (purchase pre-March 2016)
Medical Database (Alumni Edition)
ProQuest Pharma Collection
Hospital Premium Collection
Hospital Premium Collection (Alumni Edition)
ProQuest Central (Alumni) (purchase pre-March 2016)
ProQuest Central (Alumni Edition)
ProQuest Central
ProQuest Central
ProQuest One Community College
Health Research Premium Collection
Health Research Premium Collection (Alumni)
ProQuest Health & Medical Complete (Alumni)
Health & Medical Collection (Alumni Edition)
PML(ProQuest Medical Library)
ProQuest One Academic Eastern Edition (DO NOT USE)
ProQuest One Academic
ProQuest One Academic UKI Edition
MEDLINE - Academic
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
CrossRef
ProQuest One Academic Eastern Edition
ProQuest Health & Medical Complete (Alumni)
ProQuest Central (Alumni Edition)
ProQuest One Community College
ProQuest Hospital Collection
Health Research Premium Collection (Alumni)
ProQuest Pharma Collection
ProQuest Hospital Collection (Alumni)
ProQuest Central
ProQuest Health & Medical Complete
Health Research Premium Collection
ProQuest Medical Library
ProQuest One Academic UKI Edition
Health and Medicine Complete (Alumni Edition)
ProQuest One Academic
ProQuest Medical Library (Alumni)
ProQuest Central (Alumni)
MEDLINE - Academic
DatabaseTitleList ProQuest One Academic Eastern Edition
MEDLINE

MEDLINE - Academic
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
– sequence: 3
  dbid: 7X7
  name: Health & Medical Collection
  url: https://search.proquest.com/healthcomplete
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1432-5241
EndPage 903
ExternalDocumentID 3073704251
10_1007_s00266_013_0124_2
23636134
Genre Historical Article
Journal Article
GroupedDBID ---
-53
-5E
-5G
-BR
-EM
-Y2
-~C
.55
.86
.GJ
.VR
06C
06D
0R~
0VY
199
1N0
1SB
2.D
203
23M
28-
29~
2J2
2JN
2JY
2KG
2KM
2LR
2P1
2VQ
2~H
30V
36B
3O-
3V.
4.4
406
408
409
40D
40E
53G
5GY
5QI
5RE
5VS
67Z
6NX
78A
7X7
88E
8AO
8FI
8FJ
8TC
8UJ
95-
95.
95~
96X
AAAVM
AABHQ
AABYN
AAFGU
AAHNG
AAIAL
AAJKR
AAKSU
AANXM
AANZL
AAPBV
AAQQT
AARHV
AARTL
AATNV
AATVU
AAUYE
AAWCG
AAYFA
AAYIU
AAYQN
AAYTO
ABBBX
ABBXA
ABDZT
ABECU
ABFGW
ABFTV
ABHLI
ABHQN
ABIPD
ABJNI
ABJOX
ABKAS
ABKCH
ABKTR
ABMNI
ABMQK
ABNWP
ABPLI
ABQBU
ABSXP
ABTEG
ABTKH
ABTMW
ABULA
ABUWG
ABWNU
ABXPI
ACBMV
ACBRV
ACBXY
ACBYP
ACGFS
ACHSB
ACHXU
ACIGE
ACIPQ
ACKNC
ACMDZ
ACMLO
ACOKC
ACOMO
ACTTH
ACUDM
ACVWB
ACWMK
ADBBV
ADHHG
ADHIR
ADIMF
ADINQ
ADJJI
ADKNI
ADKPE
ADMDM
ADOXG
ADRFC
ADTPH
ADURQ
ADYFF
ADZKW
AEBTG
AEEQQ
AEFIE
AEFTE
AEGAL
AEGNC
AEJHL
AEJRE
AEKMD
AENEX
AEOHA
AEPYU
AEQTP
AESKC
AESTI
AETLH
AEVLU
AEVTX
AEXYK
AFAFS
AFEXP
AFKRA
AFLOW
AFNRJ
AFQWF
AFWTZ
AFZKB
AGAYW
AGDGC
AGGBP
AGGDS
AGJBK
AGKHE
AGMZJ
AGQMX
AGWIL
AGWZB
AGYKE
AHAVH
AHBYD
AHIZS
AHKAY
AHMBA
AHSBF
AHVUH
AHYZX
AIAKS
AIIXL
AILAN
AIMYW
AITGF
AJBLW
AJDOV
AJRNO
AJZVZ
AKMHD
AKQUC
ALMA_UNASSIGNED_HOLDINGS
ALWAN
AMKLP
AMXSW
AMYLF
AMYQR
AOCGG
ARMRJ
ASPBG
AVWKF
AXYYD
AZFZN
B-.
BA0
BBWZM
BDATZ
BENPR
BGNMA
BPHCQ
BVXVI
CAG
CCPQU
COF
CS3
CSCUP
DDRTE
DL5
DNIVK
DPUIP
EBLON
EBS
EIOEI
EJD
EMB
EMOBN
EN4
ESBYG
F5P
FEDTE
FERAY
FFXSO
FIGPU
FINBP
FNLPD
FRRFC
FSGXE
FWDCC
FYUFA
G-Y
G-Z
GGCAI
GGRSB
GJIRD
GNWQR
GQ6
GQ7
GQ8
GRRUI
GXS
HF~
HG5
HG6
HMCUK
HMJXF
HQYDN
HRMNR
HVGLF
HZ~
I09
IHE
IJ-
IKXTQ
IMOTQ
IWAJR
IXC
IXD
IXE
IZIGR
IZQ
I~X
I~Z
J-C
J0Z
JBSCW
JCJTX
JZLTJ
KDC
KOV
KOW
KPH
L7B
LAS
LLZTM
M1P
M4Y
MA-
N2Q
N9A
NB0
NDZJH
NPVJJ
NQJWS
NU0
O9-
O93
O9G
O9I
O9J
OAM
OVD
P19
P2P
P9S
PF0
PQQKQ
PROAC
PSQYO
PT4
PT5
Q2X
QOK
QOR
QOS
R4E
R89
R9I
RHV
RIG
RNI
ROL
RPX
RRX
RSV
RZK
S16
S1Z
S26
S27
S28
S37
S3B
SAP
SCLPG
SDE
SDH
SDM
SHX
SISQX
SJYHP
SMD
SNE
SNPRN
SNX
SOHCF
SOJ
SPISZ
SRMVM
SSLCW
SSXJD
STPWE
SV3
SZ9
SZN
T13
T16
TEORI
TSG
TSK
TSV
TT1
TUC
U2A
U9L
UG4
UKHRP
UNUBA
UOJIU
UTJUX
UZXMN
VC2
VFIZW
W23
W48
WJK
WK8
X7M
YLTOR
Z45
Z7U
Z7W
Z7X
Z81
Z82
Z83
Z87
Z88
Z8Q
Z8R
Z8U
Z8V
Z8W
Z91
Z92
ZGI
ZMTXR
ZOVNA
~EX
AACDK
AAEOY
AAJBT
AASML
AAYZH
ABAKF
ACAOD
ACDTI
ACZOJ
AEFQL
AEMSY
AFBBN
AGQEE
AGRTI
AIGIU
AJOOF
ALIPV
CGR
CUY
CVF
ECM
EIF
H13
NPM
AAYXX
CITATION
7XB
8FK
K9.
PQEST
PQUKI
7X8
ID FETCH-LOGICAL-c372t-fc5cfc2c22f718cba21f207a178b7b006b092df4ed1b90850216fddd5c2e51ba3
IEDL.DBID BENPR
ISSN 0364-216X
IngestDate Sat Oct 26 00:35:24 EDT 2024
Thu Oct 10 20:50:21 EDT 2024
Thu Sep 12 19:48:56 EDT 2024
Tue Oct 15 23:45:07 EDT 2024
Sat Dec 16 12:11:26 EST 2023
IsPeerReviewed true
IsScholarly true
Issue 5
Keywords Herniated areola
Tubular breast
Round block perinipple
Tuberous breast
Language English
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c372t-fc5cfc2c22f718cba21f207a178b7b006b092df4ed1b90850216fddd5c2e51ba3
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
PMID 23636134
PQID 1433076412
PQPubID 54048
PageCount 8
ParticipantIDs proquest_miscellaneous_1432619343
proquest_journals_1433076412
crossref_primary_10_1007_s00266_013_0124_2
pubmed_primary_23636134
springer_journals_10_1007_s00266_013_0124_2
PublicationCentury 2000
PublicationDate 2013-10-01
PublicationDateYYYYMMDD 2013-10-01
PublicationDate_xml – month: 10
  year: 2013
  text: 2013-10-01
  day: 01
PublicationDecade 2010
PublicationPlace Boston
PublicationPlace_xml – name: Boston
– name: United States
– name: Heidelberg
PublicationTitle Aesthetic plastic surgery
PublicationTitleAbbrev Aesth Plast Surg
PublicationTitleAlternate Aesthetic Plast Surg
PublicationYear 2013
Publisher Springer US
Springer Nature B.V
Publisher_xml – name: Springer US
– name: Springer Nature B.V
References Topper (CR27) 1970; 26
Versaci, Rozelle (CR2) 1991; 15
Persichetti, Berroco, Casadei, Marangi, Di Lella, Nobili (CR3) 2001; 107
Lalardrie, Jouglard (CR26) 1974
Toranto (CR1) 1981; 67
Foustanos, Zavrides (CR30) 2006; 30
Williams (CR15) 1981; 67
Grolleau, Lanfrey, Lavigne, Chavoin, Costagliola (CR16) 1999; 104
Ribeiro, Canzi, Buss, Accorsi (CR21) 1998; 101
Ribeiro, Accorsi, Argencio (CR23) 2005; 25
Tanner (CR19) 1962
Gruber, Jines (CR4) 1980; 65
Bach, Kneser, Beier, Breuel (CR10) 2009; 15
Nahabedian (CR33) 2011; 127
Bass (CR13) 1978; 1
Muti (CR32) 1996; 20
Topper, Freeman (CR14) 1980; 60
Panchapakesan, Brown (CR12) 2009; 33
Rees, Aston (CR7) 1976; 3
Von Heimburg, Exner, Kruft, Lemperle (CR17) 1996; 49
Reynaud, Gary-Bobo, Baron, Bousquet, Dessus (CR22) 1990; 35
Mandrekas, George, Zambacos (CR6) 2010; 30
CR25
Gallegos, Casas (CR31) 1998; 18
Dinner, Dowden (CR9) 1987; 19
Atiyeh, Hashim, El-Douauhy, Kayle (CR28) 1998; 22
Zambacos, Mandrekas (CR18) 2006; 118
CR20
Klinger, Caviggioli, Klinger, Villani (CR24) 2011; 19
Elliot (CR11) 1988; 20
Pacifico, Kang (CR8) 2007; 60
Mandrekas, Zambacos, Anastasopoulos, Hapsas (CR5) 2003; 112
Sohet, Heymans (CR29) 2007; 52
23860819 - Aesthetic Plast Surg. 2013 Oct;37(5):904-5
A Foustanos (124_CR30) 2006; 30
CB Bass (124_CR13) 1978; 1
C Sohet (124_CR29) 2007; 52
ML Gallegos (124_CR31) 1998; 18
E Muti (124_CR32) 1996; 20
AD Versaci (124_CR2) 1991; 15
TD Rees (124_CR7) 1976; 3
MK Klinger (124_CR24) 2011; 19
YJ Topper (124_CR27) 1970; 26
124_CR25
JP Reynaud (124_CR22) 1990; 35
YJ Topper (124_CR14) 1980; 60
124_CR20
MP Elliot (124_CR11) 1988; 20
JP Lalardrie (124_CR26) 1974
AD Bach (124_CR10) 2009; 15
GJ Zambacos (124_CR18) 2006; 118
JM Tanner (124_CR19) 1962
IR Toranto (124_CR1) 1981; 67
D Heimburg Von (124_CR17) 1996; 49
AD Mandrekas (124_CR5) 2003; 112
RP Gruber (124_CR4) 1980; 65
MD Pacifico (124_CR8) 2007; 60
JF Williams (124_CR15) 1981; 67
L Ribeiro (124_CR23) 2005; 25
BS Atiyeh (124_CR28) 1998; 22
MI Dinner (124_CR9) 1987; 19
AD Mandrekas (124_CR6) 2010; 30
V Panchapakesan (124_CR12) 2009; 33
MY Nahabedian (124_CR33) 2011; 127
JL Grolleau (124_CR16) 1999; 104
P Persichetti (124_CR3) 2001; 107
L Ribeiro (124_CR21) 1998; 101
References_xml – volume: 65
  start-page: 34
  year: 1980
  end-page: 38
  ident: CR4
  article-title: The donut mastopexy; indications and complications
  publication-title: Plast Reconstr Surg
  doi: 10.1097/00006534-198001000-00007
  contributor:
    fullname: Jines
– volume: 67
  start-page: 642
  year: 1981
  end-page: 645
  ident: CR1
  article-title: Two stages correction of tuberous breast
  publication-title: Plast Reconstr Surg
  doi: 10.1097/00006534-198105000-00012
  contributor:
    fullname: Toranto
– volume: 18
  start-page: 431
  year: 1998
  end-page: 438
  ident: CR31
  article-title: A systematic, one-stage approach in the treatment of tuberous breast deformity
  publication-title: Aesthet Surg J
  doi: 10.1016/S1090-820X(98)70072-X
  contributor:
    fullname: Casas
– volume: 30
  start-page: 680
  year: 2010
  end-page: 692
  ident: CR6
  article-title: Aesthetic reconstruction of the tuberous breast deformity a 10-year experience
  publication-title: Aesthet Surg J
  doi: 10.1177/1090820X10383397
  contributor:
    fullname: Zambacos
– volume: 3
  start-page: 339
  year: 1976
  end-page: 347
  ident: CR7
  article-title: The tuberous breast
  publication-title: Clin Plast Surg
  contributor:
    fullname: Aston
– volume: 112
  start-page: 1099
  year: 2003
  end-page: 1108
  ident: CR5
  article-title: Aesthetic reconstruction of the tuberous breast deformity
  publication-title: Plast Reconstr Surg
  doi: 10.1097/01.PRS.0000076502.37081.28
  contributor:
    fullname: Hapsas
– volume: 19
  start-page: 414
  year: 1987
  end-page: 420
  ident: CR9
  article-title: The tubular/tuberous breast syndrome
  publication-title: Ann Plast Surg
  doi: 10.1097/00000637-198711000-00005
  contributor:
    fullname: Dowden
– volume: 20
  start-page: 153
  year: 1988
  end-page: 157
  ident: CR11
  article-title: A muscular cutaneous transposition flap for correction of tubular breast
  publication-title: Ann Plast Surg
  doi: 10.1097/00000637-198802000-00013
  contributor:
    fullname: Elliot
– volume: 107
  start-page: 948
  year: 2001
  end-page: 954
  ident: CR3
  article-title: Gynecomastia and the complex circumareolar approach in the surgical treatment of skin redundancy
  publication-title: Plast Reconstr Surg
  doi: 10.1097/00006534-200104010-00007
  contributor:
    fullname: Nobili
– volume: 30
  start-page: 294
  year: 2006
  end-page: 300
  ident: CR30
  article-title: Surgical reconstruction of tuberous breasts
  publication-title: Aesthet Plast Surg
  doi: 10.1007/s00266-005-0180-3
  contributor:
    fullname: Zavrides
– volume: 60
  start-page: 455
  year: 2007
  end-page: 464
  ident: CR8
  article-title: The tuberous breast revisited
  publication-title: J Plast Reconstr Aesthet Surg
  doi: 10.1016/j.bjps.2007.01.002
  contributor:
    fullname: Kang
– volume: 15
  start-page: 279
  year: 2009
  end-page: 286
  ident: CR10
  article-title: Aesthetic correction of tuberous breast deformity. Lessons learned with a single-stage procedure
  publication-title: Breast J
  doi: 10.1111/j.1524-4741.2009.00717.x
  contributor:
    fullname: Breuel
– volume: 19
  start-page: 42
  year: 2011
  end-page: 44
  ident: CR24
  article-title: Tuberous breast: morphological study and overview of a borderline entity
  publication-title: Can J Plast Surg
  contributor:
    fullname: Villani
– volume: 67
  start-page: 647
  year: 1981
  ident: CR15
  article-title: Two stages correction of tuberous breast
  publication-title: Plast Reconstr Surg
  doi: 10.1097/00006534-198105000-00013
  contributor:
    fullname: Williams
– ident: CR25
– volume: 33
  start-page: 49
  year: 2009
  end-page: 53
  ident: CR12
  article-title: Management of tuberous breast deformity with anatomic cohesive silicone gel breast implants
  publication-title: Aesthet Plast Surg
  doi: 10.1007/s00266-008-9234-7
  contributor:
    fullname: Brown
– volume: 101
  start-page: 42
  year: 1998
  end-page: 50
  ident: CR21
  article-title: Tuberous breast: a new approach
  publication-title: Plast Reconstr Surg
  doi: 10.1097/00006534-199801000-00008
  contributor:
    fullname: Accorsi
– volume: 52
  start-page: 187
  year: 2007
  end-page: 195
  ident: CR29
  article-title: Tissular expansion and tuberous breasts: 10 cases report
  publication-title: Ann Chir Plast Esthet
  doi: 10.1016/j.anplas.2007.02.007
  contributor:
    fullname: Heymans
– year: 1974
  ident: CR26
  publication-title: Chirurgie Plastique du sein
  contributor:
    fullname: Jouglard
– volume: 22
  start-page: 284
  year: 1998
  end-page: 288
  ident: CR28
  article-title: Perinipple round block technique for correction of tubular/tuberous breast deformity
  publication-title: Aesthet Plast Surg
  doi: 10.1007/s002669900204
  contributor:
    fullname: Kayle
– volume: 127
  start-page: 91e
  year: 2011
  end-page: 102e
  ident: CR33
  article-title: Breast deformities and mastopexy
  publication-title: Plast Reconstr Surg
  doi: 10.1097/PRS.0b013e31820a7fa7
  contributor:
    fullname: Nahabedian
– volume: 118
  start-page: 1667
  year: 2006
  ident: CR18
  article-title: The incidence of tuberous breast deformity in asymmetric and symmetric mammaplasty patients
  publication-title: Plast Reconstr Surg
  contributor:
    fullname: Mandrekas
– volume: 1
  start-page: 402
  year: 1978
  end-page: 406
  ident: CR13
  article-title: Herniated areolar complex
  publication-title: Ann Plast Surg
  doi: 10.1097/00000637-197807000-00007
  contributor:
    fullname: Bass
– year: 1962
  ident: CR19
  publication-title: Growth at adolescence
  contributor:
    fullname: Tanner
– volume: 60
  start-page: 1049
  year: 1980
  end-page: 1106
  ident: CR14
  article-title: Multiple hormone interactions in the developmental biology of the mammary gland
  publication-title: Physiol Rev
  contributor:
    fullname: Freeman
– volume: 104
  start-page: 2040
  year: 1999
  end-page: 2048
  ident: CR16
  article-title: Breast base anomalies. Treatment strategy for tuberous breasts, minor deformities and asymmetry
  publication-title: Plast Reconstr Surg
  doi: 10.1097/00006534-199912000-00014
  contributor:
    fullname: Costagliola
– volume: 20
  start-page: 385
  year: 1996
  end-page: 390
  ident: CR32
  article-title: Personal approach to surgical correction of the extremely hypoplastic tuberous breast
  publication-title: Aesthet Plast Surg
  doi: 10.1007/BF02390312
  contributor:
    fullname: Muti
– volume: 26
  start-page: 287
  year: 1970
  end-page: 308
  ident: CR27
  article-title: Multiple hormone interactions in the development of mammary gland in vitro
  publication-title: Recent Prog Horm Res
  contributor:
    fullname: Topper
– volume: 25
  start-page: 398
  year: 2005
  end-page: 402
  ident: CR23
  article-title: Tuberous breast: a periareolar approach
  publication-title: Aesthet Surg J
  doi: 10.1016/j.asj.2005.05.013
  contributor:
    fullname: Argencio
– volume: 49
  start-page: 339
  year: 1996
  end-page: 345
  ident: CR17
  article-title: The tuberous breast deformity. Classification and treatment
  publication-title: Br J Plast Surg
  doi: 10.1016/S0007-1226(96)90000-4
  contributor:
    fullname: Lemperle
– volume: 15
  start-page: 307
  year: 1991
  end-page: 312
  ident: CR2
  article-title: Treatment of tuberous breast utilising tissue expansion
  publication-title: Aesthet Plast Surg
  doi: 10.1007/BF02273878
  contributor:
    fullname: Rozelle
– ident: CR20
– volume: 35
  start-page: 453
  issue: 6
  year: 1990
  end-page: 458
  ident: CR22
  article-title: Tuberous breast: clinical and therapeutic considerations. Report of 20 cases
  publication-title: Ann Chir Plast Esthet
  contributor:
    fullname: Dessus
– volume: 60
  start-page: 455
  year: 2007
  ident: 124_CR8
  publication-title: J Plast Reconstr Aesthet Surg
  doi: 10.1016/j.bjps.2007.01.002
  contributor:
    fullname: MD Pacifico
– volume-title: Chirurgie Plastique du sein
  year: 1974
  ident: 124_CR26
  contributor:
    fullname: JP Lalardrie
– volume: 49
  start-page: 339
  year: 1996
  ident: 124_CR17
  publication-title: Br J Plast Surg
  doi: 10.1016/S0007-1226(96)90000-4
  contributor:
    fullname: D Heimburg Von
– volume: 20
  start-page: 385
  year: 1996
  ident: 124_CR32
  publication-title: Aesthet Plast Surg
  doi: 10.1007/BF02390312
  contributor:
    fullname: E Muti
– volume: 60
  start-page: 1049
  year: 1980
  ident: 124_CR14
  publication-title: Physiol Rev
  doi: 10.1152/physrev.1980.60.4.1049
  contributor:
    fullname: YJ Topper
– volume: 67
  start-page: 642
  year: 1981
  ident: 124_CR1
  publication-title: Plast Reconstr Surg
  doi: 10.1097/00006534-198105000-00012
  contributor:
    fullname: IR Toranto
– volume: 52
  start-page: 187
  year: 2007
  ident: 124_CR29
  publication-title: Ann Chir Plast Esthet
  doi: 10.1016/j.anplas.2007.02.007
  contributor:
    fullname: C Sohet
– ident: 124_CR25
– volume: 67
  start-page: 647
  year: 1981
  ident: 124_CR15
  publication-title: Plast Reconstr Surg
  doi: 10.1097/00006534-198105000-00013
  contributor:
    fullname: JF Williams
– volume: 20
  start-page: 153
  year: 1988
  ident: 124_CR11
  publication-title: Ann Plast Surg
  doi: 10.1097/00000637-198802000-00013
  contributor:
    fullname: MP Elliot
– volume: 22
  start-page: 284
  year: 1998
  ident: 124_CR28
  publication-title: Aesthet Plast Surg
  doi: 10.1007/s002669900204
  contributor:
    fullname: BS Atiyeh
– volume: 30
  start-page: 294
  year: 2006
  ident: 124_CR30
  publication-title: Aesthet Plast Surg
  doi: 10.1007/s00266-005-0180-3
  contributor:
    fullname: A Foustanos
– volume: 127
  start-page: 91e
  year: 2011
  ident: 124_CR33
  publication-title: Plast Reconstr Surg
  doi: 10.1097/PRS.0b013e31820a7fa7
  contributor:
    fullname: MY Nahabedian
– volume: 19
  start-page: 42
  year: 2011
  ident: 124_CR24
  publication-title: Can J Plast Surg
  doi: 10.4172/plastic-surgery.1000689
  contributor:
    fullname: MK Klinger
– volume: 33
  start-page: 49
  year: 2009
  ident: 124_CR12
  publication-title: Aesthet Plast Surg
  doi: 10.1007/s00266-008-9234-7
  contributor:
    fullname: V Panchapakesan
– volume: 1
  start-page: 402
  year: 1978
  ident: 124_CR13
  publication-title: Ann Plast Surg
  doi: 10.1097/00000637-197807000-00007
  contributor:
    fullname: CB Bass
– volume: 15
  start-page: 307
  year: 1991
  ident: 124_CR2
  publication-title: Aesthet Plast Surg
  doi: 10.1007/BF02273878
  contributor:
    fullname: AD Versaci
– volume: 3
  start-page: 339
  year: 1976
  ident: 124_CR7
  publication-title: Clin Plast Surg
  doi: 10.1016/S0094-1298(20)30232-7
  contributor:
    fullname: TD Rees
– volume: 25
  start-page: 398
  year: 2005
  ident: 124_CR23
  publication-title: Aesthet Surg J
  doi: 10.1016/j.asj.2005.05.013
  contributor:
    fullname: L Ribeiro
– volume: 15
  start-page: 279
  year: 2009
  ident: 124_CR10
  publication-title: Breast J
  doi: 10.1111/j.1524-4741.2009.00717.x
  contributor:
    fullname: AD Bach
– volume: 65
  start-page: 34
  year: 1980
  ident: 124_CR4
  publication-title: Plast Reconstr Surg
  doi: 10.1097/00006534-198001000-00007
  contributor:
    fullname: RP Gruber
– volume: 101
  start-page: 42
  year: 1998
  ident: 124_CR21
  publication-title: Plast Reconstr Surg
  doi: 10.1097/00006534-199801000-00008
  contributor:
    fullname: L Ribeiro
– volume: 18
  start-page: 431
  year: 1998
  ident: 124_CR31
  publication-title: Aesthet Surg J
  doi: 10.1016/S1090-820X(98)70072-X
  contributor:
    fullname: ML Gallegos
– volume: 107
  start-page: 948
  year: 2001
  ident: 124_CR3
  publication-title: Plast Reconstr Surg
  doi: 10.1097/00006534-200104010-00007
  contributor:
    fullname: P Persichetti
– volume: 19
  start-page: 414
  year: 1987
  ident: 124_CR9
  publication-title: Ann Plast Surg
  doi: 10.1097/00000637-198711000-00005
  contributor:
    fullname: MI Dinner
– volume: 104
  start-page: 2040
  year: 1999
  ident: 124_CR16
  publication-title: Plast Reconstr Surg
  doi: 10.1097/00006534-199912000-00014
  contributor:
    fullname: JL Grolleau
– volume: 30
  start-page: 680
  year: 2010
  ident: 124_CR6
  publication-title: Aesthet Surg J
  doi: 10.1177/1090820X10383397
  contributor:
    fullname: AD Mandrekas
– volume: 35
  start-page: 453
  issue: 6
  year: 1990
  ident: 124_CR22
  publication-title: Ann Chir Plast Esthet
  contributor:
    fullname: JP Reynaud
– ident: 124_CR20
– volume: 26
  start-page: 287
  year: 1970
  ident: 124_CR27
  publication-title: Recent Prog Horm Res
  contributor:
    fullname: YJ Topper
– volume: 112
  start-page: 1099
  year: 2003
  ident: 124_CR5
  publication-title: Plast Reconstr Surg
  doi: 10.1097/01.PRS.0000076502.37081.28
  contributor:
    fullname: AD Mandrekas
– volume: 118
  start-page: 1667
  year: 2006
  ident: 124_CR18
  publication-title: Plast Reconstr Surg
  doi: 10.1097/01.prs.0000244312.37791.c8
  contributor:
    fullname: GJ Zambacos
– volume-title: Growth at adolescence
  year: 1962
  ident: 124_CR19
  contributor:
    fullname: JM Tanner
SSID ssj0012774
Score 2.2290142
Snippet The tuberous breast classification proposed by Grolleau does not account for a minor form of the deformity characterized by isolated nipple–areola protrusion...
The tuberous breast classification proposed by Grolleau does not account for a minor form of the deformity characterized by isolated nipple-areola protrusion...
SourceID proquest
crossref
pubmed
springer
SourceType Aggregation Database
Index Database
Publisher
StartPage 896
SubjectTerms Breast - abnormalities
Breast - anatomy & histology
Breast - physiology
Breast - surgery
Breast Diseases - classification
Breast Diseases - embryology
Breast Diseases - etiology
Breast Diseases - history
Female
History, 19th Century
Humans
Medicine
Medicine & Public Health
Medicine in the Arts
Nipples - surgery
Original Article
Otorhinolaryngology
Paintings - history
Plastic Surgery
SummonAdditionalLinks – databaseName: SpringerLink Journals (ICM)
  dbid: U2A
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV3PS8MwFA5DQbyIv51OieBJiaxJmrbepjiGMPGwwW4lSVMYQh22O_jf-17Wlsn04DkhCV-Sl-_lfXkh5MZYqaSynIGBjJnMnWNJrAWLrZF9hwTYf_c2flWjqXyZhbMO4e3VRfF-30QkvaFu37qht4DOL8p_uGRgdreBO0iUcU35oI0c8CiqU0ZBnUDNmkjmb038PIs2COZGcNSfOcN9sleTRTpYze4B6bjikOyM63D4EXmbLFHvsSzpI2rLqweKV_2ly6j_6xJVQB54qouMagoGjY6-FvjmqpyXFOgqnVclXdMNHZPp8HnyNGL1FwnMiohXLLehzS23nOdwyFijeZDzfqSDKDYR7ijTT3iWS5cFJsHsdABJnmVZaLkLA6PFCdkqPgp3Rqg2AtOxOxurSCbgGNs-tGidEi4RQokuuW3ASherTBhpm_PYI5sCsikim_Iu6TVwpvWmKMHLEGBRlAyg-LothuWMMQpdOIAL66BPJyT0d7qahrY3DqMA9iG75K6Zl7XG_xrK-b9qX5BdjgvEy_V6ZKv6XLpLoB2VufLr7Bu78swW
  priority: 102
  providerName: Springer Nature
Title Tuberous Breast: Revised Classification and a New Hypothesis for its Development
URI https://link.springer.com/article/10.1007/s00266-013-0124-2
https://www.ncbi.nlm.nih.gov/pubmed/23636134
https://www.proquest.com/docview/1433076412
https://search.proquest.com/docview/1432619343
Volume 37
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lb9swDCbW5LJL0WKPpo9AA3bqIMymFMvupUiLdMGGFsXQANnJsGQZ6MXNZufQf19SsdMOxXa1DYn4SPEh0iTAZ-t0ohOHkhRkKnXlvczSQsnUWR15doDDuLfrm2S-0N-Xk2V34dZ0ZZW9TgyKunxwfEf-lew6iWOiYzxf_ZY8NYqzq90IjR0YIkUKOIDhxezm9uc2j4DGdA2ktMQ4WfZ5zSi0ESXjJMN0AzJyEv-2TK_czVep0mCBrvZgt3MdxXTD63144-t3cHu35pKPdSMuuLy8PRN829_4UoRxl1wIFLAXRV2KQpBOE_PHFf921dw3gjxWcd824kXp0HtYXM3uLueym5IgnTLYyspNXOXQIVZkZ5wtMK4wMkVsUmv4UNkow7LSvoxtxg3qCIeqLMuJQz-JbaE-wKB-qP0BiMIq7sjuXZoYnVFs7CJa0flE-UypRI3gtEcoX22aYeTbtscBzpzgzBnOHEdw3GOYd-eiyZ-5OIJP29ck0ZymKGpPcPE3HNYpTft93GC_3Q2JCnJA9Ai-9Mx4sfi_SDn8PylH8BZZDEKJ3jEM2j9rf0KuRmvHsGOWZgzD6bdfP2bjTrro6QKnT2hi0ZA
link.rule.ids 315,783,787,12070,21402,27938,27939,31733,31734,33758,33759,41095,41537,42164,42606,43324,43819,52125,52248,74081,74638
linkProvider ProQuest
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1LT8MwDI5gHOCCQLwGA4LECRTRJlkfXBAgpgLbxGGTdquaNJV26QbtDvx77KwtQwjOrRLri2M7sfOZkEulpSc9zRkYyIDJzBgWBolggVbSMRgA23Zvg6EXjeXLpDupLtyKqqyytonWUKczjXfkN-DXQR096fK7-TvDrlGYXa1aaKyTDeThQu58f9IcuFzu-xV9lGTc9SZ1VtOxJKLgmpjtbQAujvGffulXsPkrUWr9T2-HbFeBI71frvQuWTP5HnkbLbDgY1HQBywuL28p3vUXJqW22SWWAVnkaZKnNKFg0Wj0OcdHV8W0oBCv0mlZ0JXCoX0y7j2NHiNW9UhgWvi8ZJnu6kxzzXkGXkarhLsZd_zE9QPl45ZSTsjTTJrUVSHS0wEOWZqmXc1N11WJOCCtfJabI0ITJZCP3ejA82UIJ2PtwIjaeMKEQniiTa5qhOL5kgojbkiPLZwxwBkjnDFvk06NYVztiiL-XsM2uWg-gz5jkiLJDcCF_-ChTkiY73CJfTMbBykg_JBtcl0vxsrgf4ly_L8o52QzGg36cf95-HpCtjiqhC3W65BW-bEwpxB0lOrMatYXeH7Ptw
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1LT8MwDI5gSIgLAvEaDAgSJ1BEm6RNywXxmsZTHEDarWrSVNqlG7Q78O-xs7YMITi3SqLPju3EX2xCjrWRoQwNZ2AgIyZza1kcpYJFRkvPYgDs2r09PYeDN3k_DIY1_6msaZWNTXSGOhsbvCM_A78O6hhKn5_lNS3i5aZ_MXln2EEKM611O41FsqQkODrQbTVsD18-V6ouJSUZ98Nhk-H0XEFRcFPM9TkAd8f4Tx_1K_D8lTR1vqi_RlbrIJJezqS-ThZssUFeXqdI_piW9AqJ5tU5xXv_0mbUNb5ESpCTAk2LjKYUrBsdfE7wAVY5KinErnRUlXSORLRJ3vq3r9cDVvdLYEYoXrHcBCY33HCeg8cxOuV-zj2V-irSCreX9mKe5dJmvo6xVB3gkGdZFhhuA1-nYot0inFhdwhNtcDa7NZEoZIxnJKNByMaGwobCxGKLjlpEEoms7IYSVsA2cGZAJwJwpnwLuk1GCb1DimTb3l2yVH7GXQbExZpYQEu_AcPeELCfNsz7NvZOKwCQhHZJaeNMOYG_2spu_8v5ZAsg1Ilj3fPD3tkhaNGON5ej3Sqj6ndh_ij0gdOsb4AVtfT7A
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Tuberous+Breast%3A+Revised+Classification+and+a+New+Hypothesis+for+its+Development&rft.jtitle=Aesthetic+plastic+surgery&rft.au=Costagliola%2C+Michel&rft.au=Atiyeh%2C+Bishara&rft.au=Rampillon%2C+Florence&rft.date=2013-10-01&rft.pub=Springer+Nature+B.V&rft.issn=0364-216X&rft.eissn=1432-5241&rft.volume=37&rft.issue=5&rft.spage=896&rft_id=info:doi/10.1007%2Fs00266-013-0124-2&rft.externalDBID=HAS_PDF_LINK&rft.externalDocID=3073704251
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0364-216X&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0364-216X&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0364-216X&client=summon