For the patients-especially for the young women - the congenital deformity of the breast is a problem for the psychosocial development in the adolescence. Many operative procedures for correction of tuberous breast have been described in recent years. Most of these methods however fail to address the issue of the contracting ring with unstable results. Our surgical technique for the correction of tuberous breast deformities is a single stage approach with a combination of an augmentation with anatomical silicone implant for the hypoplasia of the gland. A form correction of the breast glandular tissue by an unfurling procedure is done to correct the constricting ring that herniates into the nipple-areola complex. We describe our surgical technique with suggestions for achieving optimal results. Our combined treatment is based on the fact that the existing breast hypoplasia treated with a silicone implant would not correct the deformity of the breast gland. Therefore, the simultaneous correction of the constricted breast gland is performed and gives patients a longlasting stable result in one single procedure.