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Dr. Linder's Blog

BREAST ASYMMETRY – SEVERE

Posted On: July 10, 2014 Author: Dr. Stuart Linder Posted In: Breast Asymmetry, Breast Augmentation, Breast topics

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.