(310) 275-4513 FacebookTwitterRSS BlogYouTubeGoogle Plus
Dr. Oz 20/20 ABC The Style Network Entertainment Tonight Extra The View Extra Discovery Health Channel E! News Live The Learning Channel BBC Women's Entertainment MTV

Dr. Linder's Blog


Category: Breast Asymmetry

Rippling and Capsular Contracture, Revision Breast Surgery

breast revision surgeryThe female patient presented to the left was requesting to have a breast revision surgery due to her breast being asymmetry . During the examination, the breast had asymmetry due to the right breast having scar tissue (capsular contracture) and the left breast experiencing a rippling effect. Capsular contracture is scar tissue that forms around the breast implant which causes the breast to harden and the rippling was due to the amount of soft tissue covering the implant.  After listening to her goals, and agreeing on the expectation, we scheduled a surgery date.

During the surgery we used 445 cc SRX extra full profile silicone (gel) implants. This implant has a smooth shell surface and provides the patient with the fullest, roundest look. Using the silicone gel will also help reduce most of the visible rippling.

The post-op photo to the right is at 7-weeks and as you can see her breast are symmetric and she is very pleased with her shape and fullness. 

To schedule your consultation with Dr. Linder and learn more about breast revision surgery, call our office at (310) 275-4513 in Beverly Hills or fill out our online contact form today.


Correcting A Slight Tubular Deformity With Augmentation


The patient to the left presented with a slight tubular breast deformity. Tuberous breast deformity is a congenital breast anomaly that becomes manifest at the time of puberty and breast development. Her preoperative photo shows a conical appearance to the breast and a poorly defined inframammary fold along the bottom of the breast. During her consultation, she desired a more rounded breasts with fullness. After setting her expectations, we agreed to perform an augmentation mammoplasty procedure using 350cc high-profile saline breast implants.

The 24-year-old patient is now six weeks post op. As you can see by the photo, she has nice fullness and a rounded appearance.
If you would like more information regarding tubular breast deformity or want to set up a consultation today, call us at 310-275-4517 or fill out our online contact form.

Breast Asymmetry Correction

Every week at my Beverly Hills practice, I see patients who have some variation of breast asymmetry. Breast asymmetry is defined as a difference of form, position, or volume of the breasts, and it affects more than half of all women. Slight differences in a woman’s breasts are generally of no concern; however, if the differences are greater than one bra cup size, they may cause some psychological distress, particularly during adolescence, when a young woman’s body and psyche are already changing so rapidly.

In the typical breast asymmetry patient, one breast will be larger with sagging, and the smaller breast will be tubular, conical in shape, and tighter. Most often, the smaller breast should have a saline implant placed with the dual plane technique and release of the parasternal attachments of the pectoralis major muscle and release of the inframammary fold as well as rounding out of the lower pole of the breast. Once this implant has been placed, the contralateral smaller implant can be placed in the dual plane location, and then a formal mastopexy can be performed to tighten sagging tissues and lift the breast. The patient will then be placed in a sitting position, and if further tailoring by breast reduction of the medial and lateral flap is necessary, this can be done meticulously and carefully in order to regain symmetry with the contralateral breast.

Below are the before and after photos of two patients who had their breast asymmetry corrected, and you can see the symmetrical results after surgery. I recommend that women be over the age of 18 years for this surgery. For more information or to set up a consultation, call us at 1-310-275-4513 or contact us via email.

Breast Asymmetry Correction With Lift

Preoperatively, the patient had significant asymmetry. Breast asymmetry is defined as a difference of form, position, or volume of the breast and affects more than half of all women with some natural asymmetries.
During the consultation, the 26-year-old patient explained her goals, and we agreed to address the right breast by elevating the fold and nipple with a breast lift (mammoplasty) and a breast augmentation using 330 cc high-profile saline breast implants, filling each to 375 cc to achieve a nice symmetrical balance.
The postop photo is only one day out, but she is excited to already see a nice natural look and balance.



Breast Elevated Fold and Nipple Correction

I was presented with a 41-year-old female who was looking to have a breast augmentation as well as correct her asymmetry of her breast. During the consultation she explained her goals and we agreed to address the right breast by elevating the fold and nipple along with using 350 cc high profile saline breast implants. I filled the right breast to 380 cc and the left to 370 cc to achieve a nice symmetrical balance.  

As you can see from the 6 week post op photo the augmentation achieved a natural look and a nice balance. 



Pectus Excavatum and Asymmetry

Six Week Post Op

Six Week Post Op

I was presented a 26 year old patient with severe congenital pectus excavatum condition along with asymmetry of the breast.  As you can see the patient appearance of the chest is sunken in or caved in. During the consultation we discussed her goals and outlined the approach to achieve her breast enhancement.

For the right breast we selected 350cc high profile saline implant and built out to 450cc. The left breast we selected 300cc moderate plus saline implant built out to 350cc. As you can see from the 6 week post op photo the augmentation achieved a nice symmetrical balance.


Congenital Asymmetry Beverly Hills

This patient presents with congenital asymmetry of the breast.    Severe breast asymmetry such as the following is most easily correctable with high profile saline implants.   The patient had sutures removed in 10 days and then continue with dry dressing changes twice a day for 10 days.

Severe congenital breast asymmetry comes in many forms.  The before and after photo is an excellent example of this correction.




The patient preoperatively, as you can see, has significant asymmetry. The right breast is wider and slightly larger than the left breast which is narrower by approximately 1.5 cm. She also has a pectus carinatum of the upper sternal area. She is an excellent candidate for style 15 Allergan silicone gel implants in the dual plane, two-thirds under the muscle, one-third over. A 371 cc style 15 implant was placed on the right with a 397 on the left. Her symmetry is quite good. Cleavage is excellent. Upper pole fullness is reasonable and the inframammary folds are at precise levels.

This is an excellent example of use of moderate plus, style 15 Natrelle Allergan implants using silicone gel to reconstruct a patient with severe asymmetry and pectus carinatum.


Screen Shot 2014-08-19 at 10.17.13 AMThis is an excellent case example of a patient that presents with significant skin laxity of the left breast greater than the right. She also has asymmetry with the left breast significantly larger than the right. The patient declined to have any form of significant scars on the breast mound itself except for under the nipple. The operation that I performed included bilateral saline augmentation mammoplasty using high profile saline implants through the dual plane as well as a removal of inferior breast tissue which allowed tightening of the lower pole of the left breast without a vertical scar.

Her postoperative result shows nice symmetry with good cleavage, a decrease in the pectus excavatum that is notable preoperatively, the upper pole shows great fullness and the nipple on the left has come up significantly, although it is not quite as high as the right side. This is an excellent example of asymmetry with skin laxity in which the patient can achieve a reasonable good result using high profile saline implants in a limited pocket without a breast lift.


This is an excellent example of a patient presenting with congenital breast asymmetry. Notably, she is a 21-year-old Latin female. Her right breast shows grade 3 ptosis. The left breast shows a tubular breast deformity. The right breast is approximately 1.25 cup size larger than the left. We decided upon the use of high profile smooth saline Natrelle Allergan implants in the dual plane, 350 right, 400 cc left, and a right formal complete mastopexy using the inferior pedicle Wise-pattern technique or anchor scar. The patient is now six weeks postop.

Notice that there is excellent symmetry and volume. The right nipple is still slightly higher than the left, but this will settle over the next three months. The fullness is even in her bra and the tubular shape of the left breast has been alleviated by radial striated releases along the lower pole of the breast. The volume is excellent. Inframammary folds are similar and her cleavage pattern is closer and more proportionate for her body.

The patient will continue with Bio Corneum silicone gel liquid twice a day for the next six months and a Dr. Linder Bra for support. Patients presenting with the typical congenital breast asymmetry as in this example, do well with a combination of augmentation mammoplasties often using saline implants that can be filled to different volumes to create a more predictable accuracy as well as breast lifting as necessary.