Beverly Hills Severe Breast Asymmetry – Congenital
Case Study 1:
This patient presents with severe congenital breast asymmetry. Preoperative photograph shows right breast is a 36DD, left breast 36C. Patient desired breast implants for reconstruction purposes as well as a breast reduction lift on the right. She is one-week postop. Notice the symmetry of the nipple areolar complex. There is some upper pole fullness to the right breast which should come down over the next 5 to 6 weeks. Severe breast asymmetry such as the following is most easily correctable with high profile saline implants in which 250 cc placed on the right and a 420 on the left.
The right formal mastopexy using the inferior pedicle Wise-pattern technique was necessary in order to bring the nipple up to the even position. Notice the inframammary folds are now even as well. The patient will have sutures removed in 10 days and will continue with dry dressing changes twice a day for the next 10 days.
Severe congenital breast asymmetry comes in many forms. This is an excellent example of a left tubular breast with a right severe grade 3 ptotic hypertrophic breast requiring different size volume implants with a full breast lift on the right.
Case Study 2:
Malpostition, Severe, With Breast Dysphoria And Severe Deformity
This patient is a 27-year-old young female, presenting with severe malposition of her implants. Implants were too large and the pockets were made too big from which she has developed skin laxity. For the proportionality of her body, the implants are disproportionately large and show severe grade 3 ptosis and asymmetry.
Looking at her frontal view of the right breast, before her reconstruction, shows bottoming out, malposition, lateral displacement of her implants. Her after shows nice decrease in size, volume proportionate for her body and good nipple areolar positioning using the Wise-pattern or anchor scar. Patients with thinner figures that are petite, shoulder undergo smaller implants in order to regain symmetry, proportionality and pocket dissection needs to be limited in order to prevent the severe bottoming out as well as the grade 3 ptosis that have occurred.