SEVERE CONGENITAL BREAST DEFORMITY
The patient below shows an amazing preoperative evaluation showing three dramatic problems. The first is significant breast asymmetry. Notice the right breast is significantly larger and wider than the left. This is associated with, 1) A congenital thoracic chest wall asymmetry. 2) Severe pectus excavatum centrally with a depression deformity of the inner breast. This is more notable on her lateral and oblique views. Notice the right lateral oblique view, showing a caving in of the central chest area. 3) There is pectus carinatum of the superior chest wall, right greater than left with association of bowing out and anterior projection of the chest wall, right greater than the left. In order to reconstruct her breast, different size and shape implants will be used.
On the right breast we will perform a high profile 320 cc saline implant placed in the dual plane technique and the left a moderate plus saline, 450 cc, filled to approximately 480 cc, in order to regain both symmetry and lateral fullness on the left to recreate evenness with the right and to maintain AP projection in a similar fashion. Her postoperative photos will be shown on an upcoming blog.