BREAST ASYMMETRY + TUBULAR BREAST CORRECTION
A young lady presented with severe tubular breast deformity with grade 2 ptosis of the left breast and severe breast asymmetry. The patient declined to have any scarring with breast lifts performed. In any case, the patient underwent augmentation mammoplasty with saline high profile smooth implants, 330 cc filled to 400 on the right, 330 cc filled to 380 cc on the left using the dual plane technique, periareolar approach and radial striation of the lower pole of the right breast. Her “before and after” photographs are shown for reference.
Interestingly, the left breast pocket was made very conservative, especially lateral to the areolar border, which allowed the implant to sufficiently tighten up the left breast skin without the necessity of a breast lift. Her cleavage is actually quite good as well. The most important part of this operation was releasing the right breast lower pole inferiorly in order to reduce the tubular shape of the breast (this can be seen nicely on the oblique view), also limiting the pocket dissection on the side of the breast and using high profile saline implants in the dual plane technique, two-thirds under, one-third over. This is an interesting case. Once again, the successful surgery on a patient presenting with tubular breast deformity, sagginess or grade 2 ptosis of the left breast and asymmetry without the use of breast lift scarring.