Correcting the Tuberous Breast Deformity by the Moufarrege Total Posterior Pedicle: An Architectural Reconstruction

Tuberous breast deformity is a common congenital breast anomaly that remains one of the most challenging deformities to correct in plastic surgery. It is characterized by a large areola with a cupola deformity, a short breast lower segment, a “nosing down” of the breast, and a narrowness of the breast implantation base. The classification and surgical treatment of this pathological condition have varied extensively. The Total Posterior Pedicle breast reduction technique, described by Richard Moufarrege in 1982, is an effective corrective surgery for treating this often insightful and rebellious deformity. It consists of dissecting the skin away from the breast tissue offering free access to all breast quadrants. This technique is known for its robust blood supply to the nipple areolar complex, the preservation of the nipple areolar complex sensation, and for the conservation of the breastfeeding function. In this article, we also elucidate the reasons why the Moufarrege Total Posterior Pedicle breast reduction technique corrects all the vicious details inherent to the tuberous breast.