SEVERE CONGENITAL BREAST ASYMMETRY
The patient presents with severe congenital breast asymmetry. She will undergo surgery today. She is a conventional case of asymmetry from birth which is associated with a larger breast on one side, showing some laxity of the skin as well as stretch marks and grade 2 ptosis. Her left breast shows a hypoplastic breast. Notice the nipple areola is significantly smaller on the hypoplastic breast then the right. This may be variant of Poland syndrome where there is congenital absence of the sternal head of the pectoralis major muscle as well as very hypoplastic breasts with a small nipple areolar complex.
This patient will undergo augmentation mammoplasty procedure in the dual plane technique, using high profile saline implants, 400 cc on the right and 500 cc filled to 550 cc on the left, in order to regain a 1.5 cup size, increasing volume on the left versus the right. There will also be radial striation on the left inframammary fold to release the breast in order to allow it to fall to a similar position as the right. It has been instructed to the patient that she will wear an upper pole compression band for one month and tissue expansion exercises, left side greater than the right, in the near future.
Congenital breast asymmetry is a difficult surgery to correct, requiring experienced Board Certified Plastic Surgeons in order to determine the volume discrepancy in order to regain a normal appearance to the breast.