Challenging Breast Anomalies and Asymmetry – VR

Challenging Breast Anomalies and Asymmetry – VR

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.