CONGENITAL BREAST ASYMMETRY
Reconstruction of severe congenital breast asymmetry should only be performed by Board Certified Plastic and Reconstructive Surgeon. This is a very difficult operation in which the breasts must be reduced while maintaining and preserving sensitivity as well as blood supply to the inferior pedicle, maintaining the nipple areolar complex. This patient specifically presents with left breast asymmetry, two cup sizes larger than the right. She will undergo bilateral reduction mammoplasty on the left breast only using the inferior pedicle Wise-pattern technique. Approximately 180 grams of tissue was removed. Skin was removed circumferentially around the nipple areolar complex vertically on the inferior pedicle and medial and lateral dermoglandular flap dissection was accomplished. This patient is now six months postoperative. We have reduced about one and a half cup sizes on the left, equaling symmetry to the right breast. We have also raised the nipple areolar complex on the left. It will continue to slightly descend over the next six months.
The next photo shows the patient in her brassiere, showing excellent symmetry with good upper pole fullness on the left, equal to the right side. Congenital breast asymmetry on a simple unilateral reduction mammoplasty such as this can lead to excellent results. It is extremely important not to over-resect tissue on the affected breast which could lead to severe deformity requiring implantation.