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Dr. Linder's Blog

Congenital Breast Asymmetry

Posted On: March 16, 2011 Author: Dr. Stuart Linder Posted In: Breast Asymmetry, Home

Patient presents to our office with severe congenital breast asymmetry.  The general pattern is usually associated with one breast being significantly smaller, often with a tubular shape, poorly ill-defined fold and herniation of breast tissue into the nipple areolar complex.  The opposite breast is usually larger and has a significant degree of laxity or sagginess.  The example below shows significant grade 3 ptosis on the right with the larger breast and significantly tubular breast on the left with no skin laxity.  This is a very standard case of congenital breast asymmetry that we enjoy reconstructing.

Reconstructing these require experience in judgment and many years of training.  Only Board Certified Plastic and Reconstructive Surgeons should be performing these operations.  This specific patient underwent a right breast reduction with bilateral augmentation mammoplasty of different size implants in order to regain symmetry.  The tradeoff for the reduction of course is scarring, as noticeable on the right breast.  This is a full anchor scar or Wise-pattern technique, which was required.  Note, the postoperative symmetry is even, the folds are even and the nipple areolar complexes are symmetric as well.  This allows the patient to now feel comfortable both in and out of clothing, to wear appropriate bikinis and bras with symmetry and increase her confidence greatly.