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Beverly Hills Severe Breast Asymmetry – Congenital

Posted On: May 11, 2021 Author: The Office of Dr. Stuart Linder Posted In: Breast Asymmetry

Case Study 1:

Dr. Linder reviews the techniques he will be implementing to achieve a breast enhancement for a patient presenting with severe asymmetry.
To correct this patient’s breast asymmetry, Dr. Linder will use different-sized bilateral breast implants — 190 cc on right and 460 cc on left.
Dr. Linder will also be performing a breast lift and reduction on the right side to create a nice balance.

Case Study 2:

Before and After Breast Augmentation

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 3:


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.

Case Study 4:

Malpostition, Severe, With Breast Dysphoria And Severe Deformity

Before and After Breast Augmentation

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.

Reconstruction included implant replacement and downsizing to a smaller high profile saline implant, inferior capsulorraphy and bilateral formal breast lift using the inferior pedicle Wise-pattern technique. Her side view shows severe grade 3 skin laxity with an enormous breast, way disproportionate for her thin physique. Her after photos show good symmetry with tightening of the skin and excellent nipple areolar positioning.
Before and After Breast Augmentation

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.

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