With Louis Bucky MD
Patients with constricted and tuberous breasts, oftentimes are very self conscious because they feel that they are uniquely deformed and don’t realize how common that is. It’s a normal developmental, asymmetry. Large volume fat grafting has changed the management for tuberous breast. Classically- we would need to make all types of incisions — do incisions within the breast to get it to expand and now by adding fat, using a technique called needle band release, which releases the adhesions with just a small needle as opposed to a big incision, and pre-expansion has really changed the way we managed the constrictor of the tuberous breast, and you can do that with or without implants.