BACKGROUND: Though extremely uncommon, vulvar breast tissue has been identified and reported in both adolescent patients and during pregnancy. Supernumerary breast tissue is attributed to the failure of regression of remnant milk line during embryogenesis, which subsequently is stimulated during puberty or pregnancy. Though benign, lack of regression in size of the stimulated breast tissue often necessitates a surgical intervention. While plastic surgeons are often consulted on the management of vulvo-vaginal disorders, little is described in the literature with respect to surgical approaches based on established neuroanatomical provisions of the vulvo-vaginal region
