Tuberous Breasts

The various names it is given are descriptors of the deformity, they include: snoopy breast, conical breast, tubular breast, as well as the more technical, lower pole hypoplasia.

The condition was not described in detail until 1974, though it must have existed as long as there have been women. It varies in degree, but essentially one or both breasts are severely underdeveloped in bulk but may have a normal or even enlarged areola and nipple.

Observations of the abnormality have included: contracted skin envelope; constricted breast base;  reduction in breast parenchyma; elevation of inframammary fold.

It has been classified in degree in various ways, a simple and practical one for planning treatment is that of Grolleau:

  • Type I: Hypoplasia of the lower medial quadrant.
  • Type II: Hypoplasia of both lower quadrants.
  • Type III: Hypoplasia of all four quadrants.
  • There is no evidence of a familial tendency. The explanation is given by some that tight fascia has constricted the development of the breast, but since the breast is essentially a skin structure, superficial to the deep fascia, it is hard to accept that explanation.

    There is no valid treatment except surgery, which may possibly require:

  • Reduction of areolar hypertrophy.
  • Increase the skin volume in the breast lower pole.
  • Take down the infra mammary fold.
  • Expand the glandular parenchyma.
  • Increase the breast volume by prosthesis.