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Congenital Breast Asymmetry Overview

Breast asymmetry is a relatively common condition, in fact, most women have some degree of unevenness where one breast is slightly larger than the other. For most women, this difference is subtle enough that it does not cause any concern or embarrassment. However, a larger and more noticeable discrepancy in breast size or shape is referred to as congenital breast asymmetry. This can cause a woman to feel self-conscious about her body and can also make finding appropriately fitting bras and clothing much more difficult.

Correction for breast asymmetry is one of the most gratifying cosmetic procedures to perform. For many women, congenital breast asymmetry has been a source of embarrassment since their teenage years when the breast tissue first started developing. If asymmetric breasts are negatively affecting your self esteem, then corrective breast surgery can help.

As a female breast reconstruction surgeon, Dr. Aldona Spiegel understands the role that breasts play in a woman’s overall body image and sense of femininity. Every woman has the right to feel beautiful and confident. Dr. Spiegel is extremely sensitive to the unique needs of patients who are concerned about breast asymmetry. During your consultation, Dr. Spiegel will address all of your questions regarding corrective breast surgery and will provide you with a clearer understanding of the different treatment options available.

Correcting Breast Asymmetry

Your surgical treatment plan will depend on the degree of difference between the size and shape of your breasts. Other factors such as body type, age, and skin quality are also considered when choosing an appropriate surgical procedure.

One or more of the following procedures may be performed to achieve breast symmetry:
  • Breast Augmentation

    Breast augmentation may be performed on one or both breasts to achieve optimal breast symmetry. Weight fluctuation and aging can cause breast tissue and volume to change, whereas an implant provides stable volume. An implant may be placed to the smaller breast to match the size of its larger counterpart.

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  • Breast Reduction

    If you are happy with the size of the smaller breast, a breast reduction will be performed on the larger breast. Breast reduction procedure involves removing excess skin and fat from the breast, while also repositioning and lifting the nipple. Depending on the size difference and nipple position, this procedure may be combined with a breast lift on one or both breasts.

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  • Breast Lift

    A breast lift procedure raises and tightens the breasts, while repositioning the nipple to a higher position. This technique is typically combined with either breast reduction or breast augmentation to achieve optimal balance.

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  • Fat Grafting

    For mild cases of asymmetry, where the difference is only one cup size or less, fat grafting may be an option for correcting uneven breast volume and small irregularities. In order to achieve desired volume and optimal symmetry, more than one session of fat grafting is typically required. Fat injections and the survival rate of transplanted cells can be variable. There are many factors during the processing, harvesting, and implantation process along with your own body’s response that can affect how much of the fat graft “takes”. Fat transfer techniques have improved significantly in recent years and, in the hands of a technically-skilled surgeon, can be very effective and a great minimally invasive option to correct asymmetry. The added benefit of fat grafting is liposuction contour in the area where the fat grafts are harvested.

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Dr. Spiegel specializes in the most advanced surgical techniques and is highly skilled in all aspects of aesthetic breast surgery. You will more than likely require some combination of the above procedures to achieve ideal symmetry for your unique body type. For most women who have undergone surgical correction for breast asymmetry the experience has been life changing. Undergoing corrective breast surgery can restore a sense of confidence and have a profoundly positive impact in many areas of your life.

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