Breast Anomalies and Asymmetry Cases

This patient presented with the challenge of uneven sagging breasts.  The hallmark of my technique here is to reduce the breast volume as the lifting is done and simultaneously place an implant (under muscle).  A great outcome.

This patient presented with combination of very small breasts, asymmetry of volume, nipple & breast position, and constriction anomaly.  These are sophisticated cases requiring thought, planning, and precision.  A combination release of constriction, peri areola mastopexy, and implant augmentation yield a beautiful aesthetic result.

This patient presented with severe asymmetric tuberous constricted breast malformation. She preferred to be a small B cup. A combination of “deconstruction” release of tuberous constriction, and breast lift/reduction fixed her issues. This is an early fine result from a complex problem.

Congenital Poland Syndrome can yield dramatic asymmetry of the breast.

Here, the left breast is undeveloped, the muscle is absent, and the right breast is severely ptotic (saggy) and large.  I have a unique way of correction.  The right must be reduced, lifted, and augmented, while the left is reconstructed using acellular dermal matrix and implants.

An amazing transformation!

This case depicts one of the most challenging cases in breast surgery – the severe constricted breast anomaly. At times, extremely difficult to get an aesthetic result, this condition requires methodical intra-operative release of innumerable fibrous tight bands which internally deform the breast. Here, a patient is shown with a moderately severe variant (top 3 photos) and then after successful management (bottom 3). (From A cup to C cup) A dramatic improvement.

This case presents the common anomaly of tuberous breast deformity. In extreme conditions (here) the breast is shaped like an acorn and augmentation (or creation of a breast) is far more challenging than in “standard” type cosmetic augmentation. A fine result in a difficult setting.

In this developmental anomaly, her left breast failed to completely develop. The difference between the two breasts were more than double the volume. I placed an implant and reconfigured the breast shape and position on the left which combined to give a near-perfect match. You can see in the mirror image views that after surgery, she is truly “mirror image”!

Tuberous constricted breast Hyperplasia can be a challenging condition. It requires the release of constricted tissue, augmentation, and simultaneous periareolar mastopexy to reduce the remaining constriction around the areola. This is an example of a fine outcome.

This is a great example of a fairly common problem. Uneven small breasts with sagging of one side require (in this case) a breast lift (periareolar mastopexy) on her left and bilateral silicone implants under the muscle. A beautiful outcome!

Tuberous, constricted, breast malformation with hypoplasia is one of the most challenging situations in cosmetic breast surgery.

I combine an inframammary approach to create implant space and correct the deepest part of constriction anomaly and place the implants, with circum-areola mastopexy to lift the breast and eliminate the tuberous malformation. Here is a great result with silicone gel implants.