Methods for correction of tubular breast deformity with hypoplasia without ptosis: modern approaches and surgical techniques. Literature review

   Objective. Tubular breast deformity with hypoplasia and without ptosis remains a challenging congenital condition in aesthetic and reconstructive surgery. It involves structural underdevelopment of the lower breast pole, widening of the nipple–areolar complex, and medial deficiency.

   Purpose of a study: to systematize current surgical techniques for the correction of tubular breast deformity and to evaluate their effectiveness based on anatomical features and preoperative planning tools.

   Material and methods. A comprehensive literature review was conducted across databases including PubMed, Scopus, and eLibrary, covering publications from 1990 to 2024. Key classification systems, diagnostic criteria, and correction strategies were analyzed.

   Results. No unified algorithm for the surgical correction of tuberous breast deformity has been established. Current approaches range from simple periareolar techniques to complex reconstructive procedures involving lipofilling, combined implant pockets, and 3D planning. Particular attention is paid to the role of preoperative visualization and objective diagnostic criteria — including the pinch test, ultrasound imaging, and elements of elastography – in guiding the anatomical assessment and the selection of the optimal surgical strategy.

   Conclusion. This is the first Russian-language review to comprehensively integrate classification systems and modern correction strategies for tubular breast deformity with hypoplasia and no ptosis. The proposed algorithm enhances personalized surgical planning and highlights the need for further clinical validation.

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