Breast Anomalies and Asymmetry Cases

This shows a common problem women face. Extremely wide positioned breasts with extreme lateral nipple position. This is a very challenging aesthetic issue. Handled incorrectly would lead to enhancement of the problem. I internally performed a “differential” tissue release which allows the surface breast and nipple to rotate back to a nicer aesthetic position. A really great result!

Case Study Categories: Breast Anomalies and Asymmetry.

This woman presented with significant breast asymmetry and modest constricted wide-set breasts. I corrected these problems and created a beautiful and symmetric C cup breast.

Case Study Categories: Breast Anomalies and Asymmetry.

Asymmetry of shape, size, and nipple position presented initial challenges here. The correction was achieved by differential implant augmentation and unilateral mastopexy. An amazing result.

Case Study Categories: Breast Anomalies and Asymmetry.

Constricted breast malformation (when the nipple is unusually close or tight to the inframammary fold) requires extra creativity in the correction.

Here is an example of a transformation from a poor aesthetic AA cup to a very attractive full B cup!

Case Study Categories: Breast Anomalies and Asymmetry.

Asymmetric constricted breast anomaly is among the most challenging problem faced in cosmetic breast surgery.  Among the challenges are how to manage unusually short distances from nipple to inframammary fold, large areola, and narrow breast footprint.  Circum-areola (peri-areola) alone incisions often fail at creating ideal projection and nipple elevation.  I use a combination of 1) Internal release  2) Implant augmentation  3) Intermediate deconstruction, and 4) Surface repositioning with 3D approach necessitating inverted T incision.

Case Study Categories: Breast Anomalies and Asymmetry.

This is not just small breasts.  It is also constriction malformation which is a challenging condition requiring a sophisticated internal release and reset of tissue to allow for proper implant placement.  A fine small C cup result.

Case Study Categories: Breast Anomalies and Asymmetry.

One version of constriction malformation is when the breast develops with the nipple-areola usually close to the breast fold.  This case shows a patient with two breast folds on the right, and one on the left, each one narrow, tight, and nearly touching the bottom of the areola.  Correction requires far more work than simple augmentation and involves the release of constriction, the recreation of new inframammary breast fold, and implant augmentation.  A great B cup outcome!

Case Study Categories: Breast Anomalies and Asymmetry.

This case shows how very different women’s small breasts are when they present for augmentation.  This is asymmetric constricted breast malformation and represents a significant challenge.

I had to release the constriction problem (more on left than right) and reshape the entire breast from inside.  She is shown with a miraculous transformation to a beautifully aesthetic C cup outcome.

Case Study Categories: Breast Anomalies and Asymmetry.

Tuberous breast malformation can be extremely difficult to correct.  Also known as constricted breast, these conditions create oddly shaped breast and nipples which appear to herniate out from the breast.

Correction requires a complex release of fibers creating the problems and peri-areola mastopexy.

This case shows an amazing transformation.  A great result.

Case Study Categories: Breast Anomalies and Asymmetry.

This case shows my technique of limited access correction of inverted nipples. A micro needle release of internal bands creates a more attractive nipple.

Case Study Categories: Breast Anomalies and Asymmetry.