Breast Asymmetry

This patient came in to have a breast augmentation operation. To do the breast augmentation part is easy. But to make her breast as symmetric as possible is not easy. Look at her breasts in the before and after pictures. In the before pictures in the front view if her before picture it is very obvious how uneven her breasts were. Every aspect of her breasts was uneven. Her nipple-areolar complexes were uneven. Her breast volumes were uneven. Her lower breast folds were uneven. Her infra-mammary folds were uneven. In short she had two uneven breasts. It is easy to change two breasts that are symmetric in a similar fashion but when the breasts are uneven it is hard to get them to be symmetric. This is was my personal challenge in this case. Off course this patient and any patient wanted not only to get a breast augmentation but also an operation to correct her symmetry. All in one operative time. Essentially I had to do two different operations on two different breasts and match them in terms of breast augmentation volumes, breast size, and breast shape and breast symmetry. For this I used saline filled breast implants. The saline implants were preferred in this case in order to achieve a better breast volume match. The breast surgeon can fill the saline breast implants with the volume he wants. The silicone implants instead come with pre-made and prefixed volumes. The incisions were around the nipples. This is called peri-areolar breast augmentation. You can see how well these incisions on the areola can heal in time. The breast implants that I used were high profile breast implants because this patient wanted very perky breasts. She wanted breasts with high projection. The saline volumes in the breast implants were different. I placed larger volume in the right breast implant. The right breast implant had a volume of 420 cc. The left breast implant had a volume of 390cc. I am very proud of this result for this breast augmentation because of the symmetry achieved. It is very very hard to correct breast symmetry with a breast augmentation alone. Sometimes I tell my patients that if their breasts are uneven before then after a breast augmentation the asymmetry may appear to be more pronounced. I always try to correct breast asymmetry and uneven breasts at the time of the breast augmentation in order to offer the highest patient satisfaction. As you can tell from her breast bikini lines there is good symmetry of the tan lines as well. Little things can make a big difference in cosmetic surgery and anything in life.

This patient had breast asymmetry that makes breast augmentation surgery more challenging because the goal was to make her breasts as symmetric as possible and lifted. Her breast volumes were uneven. Silicone gel breast implants were used for her surgery. Moderate plus profile implants were used in this case in order to achieve a better breast volume match. Larger volume was placed in the right breast implant. Patient is very happy with how symmetric her breasts are now.

Patient is very happy with how natural-looking and symmetric her breasts are now and having a nice cleavage.

Ideal goal for this patient was to make her breasts as even and symmetric as possible, and create cleavage.

This wonderful patient had natural asymmetry of her breasts, and also her breast shape was not round. Furthermore, the patient had asymmetry and depression of the ribs that causes a sunken look of the right breast. One of the hard things to correct is breast and rib asymmetry, and that’s why this result is a success.

Patient is very happy with how natural and symmetric her breasts look, and also a nice cleavage that she has.

Silicone gel (gummy bear) implants were used: 325 cc implant on the right side, and 300 cc implant on the left side. Note: Had she chosen to go for larger size breast implants then she would have gotten more of a lift and upward nipple rotation. But she wanted something very natural and small since she is an avid runner.

This patient had saggy and asymmetric breasts. One way to correct it was to get a standard breast lift, but she did not want to have visible breast lift scars. The technique used by Dr. Anastasatos allowed this patient to have an internal breast lift at the same time with her breast augmentation. Her nipple-areolar complex was also rotated to a higher position on both breasts. With careful pre-operative design the patient also has an improved outcome in regards to her breast asymmetry. All this was performed via a small incision on the infra-mammary folds that measures an inch and a quarter. Décolletage is much more feminine. Results shown are one week after surgery.

This lady had a breast augmentation with saline filled breast implants. These implants were moderate profile. The incision was under the breast. There was a slight asymmetry of her breasts if you notice before the surgery. The saline breast implants allow a plastic surgeon to place different saline volumes and therefore help correct breast asymmetry as I did here. The breast implants were about 350cc in volume. The round and natural look and full breast look enhances her femininity.

This is a difficult operation and case. Look at her breasts in the before and after pictures. In the before pictures especially the front view the asymmetry of her breasts is obvious. More than that though her right breast has a tuberous or tubular appearance. She has a mild form of tubular breast deformity. When it comes to tubular breast deformity there is much improvement to be made with breast surgery but it can never be totally perfect. The correction of tubular breast deformity requires the use and placement of breast implants. The typical incision is through the areola. This case was additionally difficult because I had to expand the breast pockets. She had very little breast tissue as you can see in her before picture. When you expand the breast skin and the breast tissue then the nipple-areolar complex also expands. That is not ideal but unavoidable since this patient wanted to have larger size breasts. Her breast implants were saline filled and the volumes were around 300c. The breast implant profile was moderate profile. I am very happy about this case because I was able to improve her symmetry with just one operation.