Breast augmentation patients in Phoenix who come to my practice often have some degree of breast asymmetry, which can create aesthetic issues with regards to their final results. What appears to be a small, or almost unnoticeable asymmetry can be magnified when breasts are made larger with implants, therefore any asymmetry must be seriously analyzed and addressed prior to surgery.
There are many causes of asymmetry. Some originate from differences in breast size, which can be due to naturally differing amounts of tissue. Breasts can also have different degrees of drooping, and nipples can be in asymmetrical locations. Ribcage asymmetries are often subtle, when one side of the ribcage protrudes or is angled more than the other, it can change the positioning of the implants, particularly with regards to how much the implant projects (sticks out). Multiple types of asymmetry can occur together, making surgery even more challenging.
There are a number of methods for correcting asymmetry during breast augmentation, and each procedure should be customized to the exact needs of the patient. For asymmetry cases, I can use implants of different volumes, placing a larger implant in the breast that lacks volume, to achieve a more balanced appearance. If the ribcage projects more on one side, I can use a lower profile (less projecting) implant to compensate for the difference. Breast lift techniques can also be used to even out areola sizes and locations, or to address differences in drooping.
One of the most effective methods for choosing the right implant in patients with significant asymmetry involves placing test sizers in the patient to see how symmetry is affected in both the lying down and upright positions. This process is worth the extra time, because factors such as implant profile can make a large difference in the outcome. In some cases, different profile and different size implants are needed in order to achieve the best possible symmetry.
Patients usually joke about how I point out their imperfections during their consultation, but as I always say, “if a surgeon can’t recognize your asymmetries before surgery, he or she will not be prepared to correct it during surgery”.