Two Women Confidence Restored with A 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.
The 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.